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NPI Code Detail

MEDICARE: GREINER ORTHOPEDICS LLC

MEDICARE: GREINER ORTHOPEDICS LLC
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
1207X00000XOrthopaedic Surgery Physician2006015219MO

General Provider Information

NPI Number : 1659806453
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREINER ORTHOPEDICS LLC
Provider Business Mailing Address
First Line : 4941 NW CANYON RD
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-2066
Country : US
Telephone Number : 816-317-5070
Fax Number : 816-205-8282
Provider Business Practice Location Address
First Line : 19201 E VALLEY VIEW PKWY STE C
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-6913
Country : US
Telephone Number : 816-317-5070
Fax Number : 855-862-9292
Authorized Official
Title or Position : ASSISTANT MANAGER
Name : JESSIKA N MILLER
Credential :
Telephone Number : 816-647-2251
Provider Enumeration Date : 04/29/2017
Last Update Date : 09/19/2024

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Directions to “GREINER ORTHOPEDICS LLC ” Practice Location

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