Charles E Mc Grath D.o. P.c.

NPI 1053455675 - Family Medicine - 207Q00000X

NPI Details
NPI 1053455675
Enumeration Date 02/16/2007
Last Updated 06/26/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES CHARLES
Position OWNER
Phone (816) 254-1781
Fax (816) 254-2182
Practice Location
514 S NOLAND RD
SUITE 130
INDEPENDENCE MO, 64050-3969, US
Phone (816) 254-1781
Fax (816) 254-2182
Business Location
514 S NOLAND RD
SUITE 130
INDEPENDENCE MO, 64050-3969, US
Phone (816) 254-1781
Fax (816) 254-2282
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 34431
Remove 1053455675 NPI Number
 

According to our database, Charles E Mc Grath D.o. P.c. NPI is 1053455675, taxonomy code is 207Q00000X and license number is 34431, license state is located at Missouri. Charles E Mc Grath D.o. P.c. physically located at 514 S Noland Rd, Independence MO, 64050-3969. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053455675 NPI number is provided on an as is basis without warranty of any kind. 1053455675 is maintained by the National Plan & Provider Enumeration System. The contents of Charles E Mc Grath D.o. P.c. are for informational purposes only.