Provider First Line Business Practice Location Address:
20 NW R.D. MIZE ROAD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
BLUE SPRINGS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64014-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-655-5472
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2013