Organization
BLUE SPRINGS FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ERIC PETERSON DO (PRESIDENT)
(816) 229-8880
Entity
Organization
Contact information
Practice address
104 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-7276
(816) 229-8880
(816) 229-4363
Mailing address
104 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-2726
(816) 229-8880
(816) 229-4363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09239018
BCBS OF KC
MO
01
—
1052
COVENTRY GHP
MO
Enumeration date
11/16/2006
Last updated
08/22/2020
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