Organization
ROBERT STURDEVANT, DO PEDIATRIC CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRIAN STURDEVANT DO (PRESIDENT)
(816) 887-1987
Entity
Organization
Contact information
Practice address
811 WESTCHESTER AVE, HARRISONVILLE, MO 64701
(816) 887-1987
Mailing address
811 WESTCHESTER AVE, HARRISONVILLE, MO 64701
(816) 887-1987
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
105957
MO
Other
Enumeration date
07/03/2006
Last updated
03/03/2008
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