Centerwell Senior Primary Care Mo PC
NPI #1629785613 in Independence, Missouri
Provider Information
- NPI Number
- 1629785613
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Mo PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE MO PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 31, 2022
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 300 N OSAGE ST STE 200
- City
- Independence
- State
- Missouri
- ZIP Code
- 64050-2705
- Phone
- (816) 623-6503
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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