Organization
SLCI PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA ROSSER (CHIEF OPERATIONS OFFICER)
(816) 932-3350
Entity
Organization
Contact information
Practice address
4321 WASHINGTON ST, STE. 1000, KANSAS CITY, MO 64111-5961
(913) 491-0413
(913) 491-0411
Mailing address
PO BOX 504665, SAINT LOUIS, MO 63150-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LC0874062
MO
Other
Enumeration date
04/14/2008
Last updated
01/15/2009
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