| Grain Valley Center for Functional Medicine | |
|
203 S Main St Ste D Grain Valley MO 64029-9703 | |
| (816) 519-2930 | |
| Not Available |
| Full Name | Grain Valley Center for Functional Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 203 S Main St Ste D, Grain Valley, Missouri |
| Authorized Official Name and Position | Susan M Anschutz (OWNER/CHIROPRACTOR) |
| Authorized Official Contact | 8165192930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grain Valley Center for Functional Medicine 203 S Main St Ste D Grain Valley MO 64029-9703 Ph: (816) 519-2930 | Grain Valley Center for Functional Medicine 203 S Main St Ste D Grain Valley MO 64029-9703 Ph: (816) 519-2930 |
| NPI Number | 1134782915 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134782915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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