Independence Medical Group Pc

NPI 1255545737 - Specialist - 174400000X

NPI Details
NPI 1255545737
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM V WILLIAM
Position PHYSICIAN PRESIDENT
Phone (816) 373-0655
Fax (816) 478-6374
Practice Location
17601 E US HIGHWAY 40
SUITE S
INDEPENDENCE MO, 64055-5434, US
Phone (816) 373-0655
Fax (816) 478-6374
Business Location
17601 E US HIGHWAY 40
SUITE S
INDEPENDENCE MO, 64055-5434, US
Phone (816) 373-0655
Fax (816) 478-6374
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 103646
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According to our database, Independence Medical Group Pc NPI is 1255545737, taxonomy code is 174400000X and license number is 103646, license state is located at Missouri. Independence Medical Group Pc physically located at 17601 E Us Highway 40, Independence MO, 64055-5434. NPI Number 1033115704 has the healthcare provider type.

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1255545737 NPI number is provided on an as is basis without warranty of any kind. 1255545737 is maintained by the National Plan & Provider Enumeration System. The contents of Independence Medical Group Pc are for informational purposes only.