| Susan A Vega Do.pc | |
|
8 Country Club Rd Country Club MO 64505-1014 | |
| (816) 232-0743 | |
| (816) 361-4151 |
| Full Name | Susan A Vega Do.pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Country Club Rd, Country Club, Missouri |
| Authorized Official Name and Position | Susan A Vega (PHYSICIAN) |
| Authorized Official Contact | 8162320743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Vega Do.pc 8 Country Club Rd Country Club MO 64505-1014 Ph: (816) 232-0743 | Susan A Vega Do.pc 8 Country Club Rd Country Club MO 64505-1014 Ph: (816) 232-0743 |
| NPI Number | 1518167071 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518167071 | NPI | - | NPPES |
| P00415188 | Other | MO | MEDICARE RR |
| 243615069 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R3P07 (Missouri) | Primary |