Independence Medical Group PC

NPI #1255545737 in Independence, Missouri

Provider Information

NPI Number: 1255545737
Entity Type: Organization
Organization Name: Independence Medical Group PC
Primary Specialty: Specialist
Enumeration Date: May 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17601 E US HIGHWAY 40
Address 2: SUITE S
City: Independence
State: Missouri
ZIP Code: 64055-5434
Phone: (816) 373-0655

Authorized Official

Name: DR. WILLIAM V ANDREWS, M.D.
Title: PHYSICIAN PRESIDENT
Phone: (816) 373-0655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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