Heartland Family Physicains Clinic
NPI #1205966645 in Jackson, Missouri
Provider Information
- NPI Number
- 1205966645
- Entity Type
- Organization
- Organization Name
- Heartland Family Physicains Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Sep 22, 2010
Practice Location
Authorized Official
- Name
- DR. RAMIRO ICAZA, M.D.
- Title
- ADMINSTRATOR
- Phone
- 57352433115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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