Individual
JAMES P REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 CLAY EDWARDS DR, STE 1230, NORTH KANSAS CITY, MO 64116-3276
(816) 214-9300
(816) 214-9330
Mailing address
PO BOX 1520, STE 1230, THE DALLES, OR 97058-8003
(541) 298-7971
(541) 296-6431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
106191
MO
332B00000X
Durable Medical Equipment & Medical Supplies
106191
MO
335E00000X
Prosthetic/Orthotic Supplier
106191
MO
Other
Enumeration date
10/03/2006
Last updated
07/28/2016
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