Excelsior Springs Physicians Clinic
NPI #1629491105 in Excelsior Springs, Missouri
Provider Information
- NPI Number
- 1629491105
- Entity Type
- Organization
- Organization Name
- Excelsior Springs Physicians Clinic
- Primary Specialty
- Family Medicine - Adolescent Medicine
- Enumeration Date
- Feb 4, 2014
- Last Updated
- Feb 4, 2014
Practice Location
- Address
- 1700 RAINBOW BLVD
- State
- Missouri
- ZIP Code
- 64024-1182
- Phone
- (816) 629-2623
Authorized Official
- Name
- MRS. JENNIFER L BOOMGARDEN, CRMA, BSHSA, EMBA
- Title
- PHYSICIANS PRACTICE MANAGER
- Phone
- (816) 629-2623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adolescent Medicine — Adolescent Medicine |
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