Provider First Line Business Practice Location Address:
19600 E 39TH ST S, CENTERPOINT MEDICAL CENTER, MEDICAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-396-3807
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2025