Organization
PREVEYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B WILSON (CEO)
(816) 287-0728
Entity
Organization
Contact information
Practice address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 287-0728
Mailing address
10001 E 67TH ST, RAYTOWN, MO 64133-5218
(816) 287-0728
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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