Provider First Line Business Practice Location Address:
17065 S US HIGHWAY 71
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
BELTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64012-2165
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:
11/17/2005