| Grain Valley Family Practice | |
|
1454 Sw Eagles Pkwy Grain Valley MO 64029-8508 | |
| (816) 847-2390 | |
| (816) 847-2392 |
| Full Name | Grain Valley Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1454 Sw Eagles Pkwy, Grain Valley, Missouri |
| Authorized Official Name and Position | Alan James Scharrer (CEO/PRESIDENT) |
| Authorized Official Contact | 8168472390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grain Valley Family Practice 1454 Sw Eagles Pkwy Grain Valley MO 64029-8508 Ph: (816) 847-2390 | Grain Valley Family Practice 1454 Sw Eagles Pkwy Grain Valley MO 64029-8508 Ph: (816) 847-2390 |
| NPI Number | 1568651438 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568651438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 106682 (Missouri) | Primary |
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