| Plaza Primary Care And Geriatrics | |
|
4440 Broadway Kansas City MO 64111-3315 | |
| (816) 561-9200 | |
| (816) 561-5766 |
| Full Name | Plaza Primary Care And Geriatrics |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4440 Broadway, Kansas City, Missouri |
| Authorized Official Name and Position | Regina G Foster (OFFICE MANAGER) |
| Authorized Official Contact | 8165619200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Primary Care And Geriatrics 4440 Broadway Kansas City MO 64111-3315 Ph: (816) 561-9200 | Plaza Primary Care And Geriatrics 4440 Broadway Kansas City MO 64111-3315 Ph: (816) 561-9200 |
| NPI Number | 1013093277 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013093277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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