Provider First Line Business Practice Location Address:
1509 W TRUMAN RD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64050-3436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-469-4244
Provider Business Practice Location Address Fax Number:
913-469-1939
Provider Enumeration Date:
12/01/2005