White Crystal Emergency Physicians, LLC

NPI #1174994511 in Independence, Missouri

Provider Information

NPI Number: 1174994511
Entity Type: Organization
Organization Name: White Crystal Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 12, 2015
Last Updated: Oct 12, 2015

Practice Location

Address: 19600 E 39TH ST S
City: Independence
State: Missouri
ZIP Code: 64057-2301
Phone: (469) 401-2386

Authorized Official

Name: TENNA BEHM
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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