Medbasics Missouri LLC
NPI #1063698827 in Independence, Missouri
Provider Information
- NPI Number
- 1063698827
- Entity Type
- Organization
- Organization Name
- Medbasics Missouri LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDBASICS INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 10, 2008
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 4201 S NOLAND RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-7313
- Phone
- (816) 373-9901
Authorized Official
- Name
- JODI KRUSELY
- Title
- ACCOUNT MANAGER
- Phone
- (847) 838-3832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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