Organization
EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON MEYER (CFO)
(816) 629-2763
Entity
Organization
Contact information
Practice address
25610 PARK RD N, LAWSON, MO 64062-8938
(816) 630-6722
Mailing address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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