Organization
BRIDGE INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A WYLLIE (CHIEF OF OPERATIONS)
(816) 454-5433
Entity
Organization
Contact information
Practice address
305 NW ENGLEWOOD CT STE 200, KANSAS CITY, MO 64118
(816) 454-5433
(816) 454-8455
Mailing address
305 NW ENGLEWOOD COURT, SUITE 200, KANSAS CITY, MO 64118-4000
(816) 454-5433
(816) 454-8455
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
07/23/2018
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