Organization
OZARK HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JASDANWALA FNP (DIRECTOR)
(573) 201-0356
Entity
Organization
Contact information
Practice address
7505 E 87TH ST, KANSAS CITY, MO 64138-3917
(573) 201-0356
Mailing address
164 COUNTY ROAD 4190, SALEM, MO 65560-8286
(312) 953-5636
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2015021629
MO
Other
Enumeration date
01/13/2017
Last updated
01/06/2025
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