Independence Surgical Clinic, Inc.

NPI #1144348012 in Independence, Missouri

Provider Information

NPI Number: 1144348012
Entity Type: Organization
Organization Name: Independence Surgical Clinic, Inc.
Primary Specialty: Surgery
Enumeration Date: Mar 27, 2007
Last Updated: Jul 10, 2024

Practice Location

Address: 19550 EAST 39TH STREET S
Address 2: SUITE 325
City: Independence
State: Missouri
ZIP Code: 64057-2310
Phone: (816) 373-4646

Authorized Official

Name: MINDI SUZANNE THOMPSON BEAHM, MD
Title: PRESIDENT
Phone: (816) 373-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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