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NPI Code Detail

MEDICARE: NORTHLAND BONE & JOINT, INC

MEDICARE: NORTHLAND BONE & JOINT, INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier
3261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1902832611
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND BONE & JOINT, INC
Provider Business Mailing Address
First Line : 2790 CLAY EDWARDS DR STE 1230
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3276
Country : US
Telephone Number : 816-214-9345
Fax Number : 816-214-9330
Provider Business Practice Location Address
First Line : 2790 CLAY EDWARDS DR STE 1230
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3276
Country : US
Telephone Number : 816-214-9345
Fax Number : 816-214-9330
Authorized Official
Title or Position : PRESIDENT
Name : LESLIE D THOMAS
Credential : M.D.
Telephone Number : 816-214-9300
Provider Enumeration Date : 06/24/2006
Last Update Date : 09/15/2008

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Practice Location Address:
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1760477517 — JAMES RIOJAS M.D.
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64116-3276
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1154303832 — DAVID R HOCKMUTH M.D.
Practice Location Address:
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Directions to “NORTHLAND BONE & JOINT, INC ” Practice Location

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