Individual
LEE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 S PARK DR, RAYMORE, MO 64083-8414
(816) 560-5066
Mailing address
703 S PARK DR, RAYMORE, MO 64083-8414
(816) 560-5066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2006021343
MO
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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