Icare Primary Care

NPI #1316344658 in Liberty, Missouri

Provider Information

NPI Number
1316344658
Entity Type
Organization
Organization Name
Icare Primary Care
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 2, 2014
Last Updated
Dec 2, 2014

Practice Location

Address
550 RUSH CREEK PKWY
Address 2
SUITE B
ZIP Code
64068-9608
Phone
(816) 875-4325

Authorized Official

Name
JENNIFER PETERSEN
Title
OFFICE MANAGER
Phone
(816) 875-4325

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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