Epc Mo Aco LLC
NPI #1346824570 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1346824570
- Entity Type
- Organization
- Organization Name
- Epc Mo Aco LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 12, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 400 SW LONGVIEW BLVD STE 200
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64081-2116
- Phone
- (737) 226-6700
Authorized Official
- Name
- ANTONIO GAMBOA, MD
- Title
- OWNER
- Phone
- (737) 226-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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