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NPI Code Detail

MEDICARE: US MEDGROUP OF KANSAS PA

MEDICARE: US MEDGROUP OF KANSAS PA
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
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1033515739
Entity Type Code : Organization
Provider Name (Legal Business Name) : US MEDGROUP OF KANSAS PA
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-720-7772
Fax Number : 214-775-4502
Provider Business Practice Location Address
First Line : 1617 S 3RD ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-3839
Country : US
Telephone Number : 314-421-2557
Fax Number : 314-421-2046
Authorized Official
Title or Position : PRESIDENT / TREASURER
Name : ARTHUR ZIPORIN
Credential : MD
Telephone Number : 913-894-6664
Provider Enumeration Date : 11/07/2014
Last Update Date : 11/07/2014

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Directions to “US MEDGROUP OF KANSAS PA ” Practice Location

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