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NPI Code Detail

MEDICARE: CASS COUNTY PEDIATRICS

MEDICARE: CASS COUNTY PEDIATRICS
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1760502454
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASS COUNTY PEDIATRICS
Provider Business Mailing Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-322-3508
Provider Business Practice Location Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-322-3508
Authorized Official
Title or Position : BILLING MNGR
Name : MRS. PATRICIA HARDIN
Credential :
Telephone Number : 816-318-9400
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/13/2015

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Directions to “CASS COUNTY PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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