Organization
PROMPT MEDICAL CLINIC INC
Active
Other names
Mid-America Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARPORN SIRIWANGCHAI (ADMINISTRATOR)
(816) 252-6647
Entity
Organization
Contact information
Practice address
1325 S NOLAND RD STE C, INDEPENDENCE, MO 64055-1346
(816) 252-6647
(816) 252-0012
Mailing address
1325 S NOLAND RD STE C, INDEPENDENCE, MO 64055-1346
(816) 252-6647
(816) 252-0012
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
118012
MO
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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