Provider First Line Business Practice Location Address:
2401 GILLHAM ROAD
Provider Second Line Business Practice Location Address:
CHILDREN'S MERCY HOSPITAL-DEPT OF ANESTHESIA
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-675-4367
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2018