institution
Excelsior Springs Physicians Clinic
Adolescent Medicine (Family Medicine) Physician in Excelsior Springs, Missouri
NPI 1629491105

Excelsior Springs Physicians Clinic is an Adolescent Medicine (Family Medicine) Physician based in Excelsior Springs, MO and is specialized in Adolescent Medicine. Excelsior Springs Physicians Clinic practices in Excelsior Springs, MO. The NPI Number for Excelsior Springs Physicians Clinic is 1629491105 and holds a License No. R6J43 (Missouri).

The current practice location address for Excelsior Springs Physicians Clinic is 1700 Rainbow Blvd, Excelsior Springs, MO and can be reached out via phone at 816-629-2623 and via fax at 816-629-2722.

Location: 1700 Rainbow Blvd, Excelsior Springs, MO, 64024-1202
institution
Provider Profile Details
NPI Number
1629491105
Provider Name
Excelsior Springs Physicians Clinic
Credential
Provider Entity Type
Organization
Address
1700 Rainbow Blvd, Excelsior Springs, MO, 64024-1202
Phone Number
816-629-2623
Fax Number
816-629-2722
Provider Enumeration Date
02/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA 4388 01 MO MEDICARE ID#
institution
Provider Business Practice Location Address Details
Address
1700 Rainbow Blvd
City
State
Zip
64024-1182
Phone Number
816-629-2623
Fax Number
816-629-2722
person
Provider Business Mailing Address Details
Address
1700 Rainbow Blvd
City
State
Zip
64024-1182
Phone Number
816-629-2623
Fax Number
816-629-2722
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
R6J43 (Missouri)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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