Organization
CHILDREN'S MERCY - JC PEDS INC
Active
Other names
JC Peds- an affiliate of Children's Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D FINUF II (SNR VICE PRESIDENT)
(816) 701-5200
Entity
Organization
Contact information
Practice address
1705 CHRISTY DR STE 210, JEFFERSON CITY, MO 65101-5195
(573) 606-7337
(573) 616-4459
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500099697
—
MO
Enumeration date
04/04/2024
Last updated
04/22/2025
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