Icare Primary Care Clinic, LLC
NPI #1699173757 in Liberty, Missouri
Provider Information
- NPI Number
- 1699173757
- Entity Type
- Organization
- Organization Name
- Icare Primary Care Clinic, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 5, 2014
- Last Updated
- Dec 5, 2014
Practice Location
Authorized Official
- Name
- DR. ERIK CHRISTIAN PETERSEN, D.O.
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (816) 875-4325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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