| Epc Mo Aco LLC | |
|
400 Sw Longview Blvd Ste 200 Lees Summit MO 64081-2116 | |
| (737) 226-6700 | |
| Not Available |
| Full Name | Epc Mo Aco LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Sw Longview Blvd Ste 200, Lees Summit, Missouri |
| Authorized Official Name and Position | Antonio Gamboa (OWNER) |
| Authorized Official Contact | 7372266700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epc Mo Aco LLC 3901a Spicewood Springs Rd Ste 201 Austin TX 78759-8728 Ph: (737) 226-6700 | Epc Mo Aco LLC 400 Sw Longview Blvd Ste 200 Lees Summit MO 64081-2116 Ph: (737) 226-6700 |
| NPI Number | 1346824570 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346824570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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