Mc Medical LLC

NPI #1073390696 in Gladstone, Missouri

Provider Information

NPI Number: 1073390696
Entity Type: Organization
Organization Name: Mc Medical LLC
Primary Specialty: General Practice
Enumeration Date: Sep 8, 2023
Last Updated: Dec 20, 2023

Practice Location

Address: 7209 N PROSPECT AVENUE
City: Gladstone
State: Missouri
ZIP Code: 64119
Phone: (479) 258-2080

Authorized Official

Name: RICHARD HENRY
Title: ENROLLMENT MANAGER
Phone: (479) 258-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Psychologist	103T00000X
Social Worker	104100000X
Marriage & Family Therapist	106H00000X
Internal Medicine	207R00000X
Pediatrics	208000000X
General Practice	208D00000X	Primary

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