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NPI Code Detail

MEDICARE: LEE'S SUMMIT PHYSICIANS GROUP

MEDICARE: LEE'S SUMMIT PHYSICIANS GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician

General Provider Information

NPI Number : 1225335250
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEE'S SUMMIT PHYSICIANS GROUP
Provider Business Mailing Address
First Line : 1600 NW SOUTH OUTER RD
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-2963
Country : US
Telephone Number : 816-554-6520
Fax Number :
Provider Business Practice Location Address
First Line : 1600 NW SOUTH OUTER RD
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-2963
Country : US
Telephone Number : 816-554-6520
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : STEVEN B WEINRICH
Credential :
Telephone Number : 816-524-3223
Provider Enumeration Date : 02/28/2011
Last Update Date : 02/28/2011

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Directions to “LEE'S SUMMIT PHYSICIANS GROUP ” Practice Location

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