| Centerwell Senior Primary Care Mo Pc | |
|
300 N Osage St Ste 200 Independence MO 64050-2705 | |
| (816) 623-6503 | |
| (888) 494-2184 |
| Full Name | Centerwell Senior Primary Care Mo Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 N Osage St Ste 200, Independence, Missouri |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Mo Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-0000 | Centerwell Senior Primary Care Mo Pc 300 N Osage St Ste 200 Independence MO 64050-2705 Ph: (816) 623-6503 |
| NPI Number | 1629785613 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629785613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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