Organization
SIGNATURE MEDICAL GROUP OF KC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN J ZAEGEL (CFO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
20920 W 151ST ST STE 100, OLATHE, KS 66061-7243
(913) 381-5225
(913) 901-0186
Mailing address
12639 OLD TESSON RD STE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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