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Organization

MAPLE CREST OPEN MRI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA J ASHER (CONSULTANT)
(816) 268-4019
Entity
Organization

Contact information

Practice address
840 W KANSAS ST, SUITE A, LIBERTY, MO 64068-2033
(816) 781-9797
(816) 781-9793
Mailing address
840 W KANSAS ST, SUITE A, LIBERTY, MO 64068-2033
(816) 781-9797
(816) 781-9793

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34425017
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/04/2006
Last updated
06/17/2008
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