Organization
WELLSPRING HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MOORE HAAS DO (CEO)
(909) 815-3324
Entity
Organization
Contact information
Practice address
6124 RAYTOWN RD, RAYTOWN, MO 64133-4007
(909) 815-3324
Mailing address
705B SE MELODY LN # 184, LEES SUMMIT, MO 64063-4380
(909) 815-3324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/02/2022
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