Carondelet Physician Services, Inc.
NPI #1699040006 in Grain Valley, Missouri
Provider Information
- NPI Number
- 1699040006
- Entity Type
- Organization
- Organization Name
- Carondelet Physician Services, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CARONDELET HEALTH
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 19, 2012
- Last Updated
- Mar 19, 2012
Practice Location
- Address
- 1454 SW EAGLES PKWY
- City
- Grain Valley
- State
- Missouri
- ZIP Code
- 64029-8508
- Phone
- (816) 847-2390
Authorized Official
- Name
- MR. STEVEN R CLEARY
- Title
- VP AND CFO
- Phone
- (816) 943-2819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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