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ADVANCED HEALTH CARE, LLC

Chiropractic Providers Chiropractor Internist

Provider NPI: 1356442669

Organization Information:
Organization Name:  ADVANCED HEALTH CARE, LLC
Organization is not Subpart
Authorized Official:  RAYMOND  VASQUEZ  PRESIDENT  816-525-6688

Practice Location:
1631 NE DOUGLAS ST  LEES SUMMIT, MO 64086-4701 US
Tel: 816-525-6688  Fax: 816-554-7227

Business Mailing Address:
1631 NE DOUGLAS ST  LEES SUMMIT, MO 64086-4701 US
Tel: 816-525-6688  Fax: 816-554-7227

NPI Information:
NPI: 1356442669
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N111NI0900XChiropractic Providers
Chiropractor
Internist
MO
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MO
Y207Q00000XPhysicians
Family Medicine
MO

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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