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Organization

MIDWEST CERTIFIED FIRST ASSISTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ANTHONY EVERETTE SA-C (CERTIFIED FIRST ASSISTANT)
(816) 358-4316
Entity
Organization

Contact information

Practice address
7619 E 76TH ST, KANSAS CITY, MO 64138-1121
(816) 358-4316
Mailing address
7619 E 76TH ST, KANSAS CITY, MO 64138-1121
(816) 358-4316

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
06-302
MO

Other

Enumeration date
05/09/2008
Last updated
05/09/2008
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