Organization
JOHN AMICK DO PC
Active
Other names
Cobblestone Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H AMICK D.O. (SENIOR PARTNER)
(816) 781-7400
Entity
Organization
Contact information
Practice address
1133 W KANSAS ST, LIBERTY, MO 64068
(816) 781-7400
Mailing address
PO BOX 381, LIBERTY, MO 64069-2281
(816) 781-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20109010
KANSAS CITY BCBS
MO
05
—
506107408
—
MO
01
—
CH4140
RAILROAD MEDICARE
MO
Enumeration date
02/26/2007
Last updated
07/28/2009
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