Organization
INTERNAL MEDICINE PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MUSICANT D.O. (CORPORATION PRESIDENT)
(816) 737-3800
Entity
Organization
Contact information
Practice address
4240 BLUE RIDGE BLVD, SUITE 725, KANSAS CITY, MO 64133-1713
(816) 737-3800
(816) 737-5636
Mailing address
4240 BLUE RIDGE BLVD, SUITE 725, KANSAS CITY, MO 64133-1713
(816) 737-3800
(816) 737-5636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07460018
BC AND BS OF KANSAS CITY
MO
05
—
11021254A
—
KS
Enumeration date
05/19/2006
Last updated
07/20/2007
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