Diamond Medical Care LLC
NPI #1770978413 in Grain Valley, Missouri
Provider Information
- NPI Number
- 1770978413
- Entity Type
- Organization
- Organization Name
- Diamond Medical Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 31, 2015
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 1101 NW PAMELA BLVD
- Address 2
- SUITE A
- City
- Grain Valley
- State
- Missouri
- ZIP Code
- 64029-7841
- Phone
- (816) 295-1606
Authorized Official
- Name
- DR. BRAD MOUSE, D.O.
- Title
- PHYSICIAN
- Phone
- (816) 295-1606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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