Organization
NORTHLAND INTEGRATED MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILLEN EASLEY (PRESIDENT)
(816) 841-2600
Entity
Organization
Contact information
Practice address
5563 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 841-2600
(816) 841-2601
Mailing address
5563 NW BARRY RD, KANSAS CITY, MO 64154-1408
(816) 841-2600
(816) 841-2601
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
MO
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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