OCTAVE C MERVEILLE

INDEPENDENCE, MO
NPI1245599976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MO  33146)
Enumeration Date2012-05-15
Last Update Date2012-05-15
Business Address
-- OCTAVE C MERVEILLE M.D.
4201 S HOCKER DR
INDEPENDENCE, MO 64055-4723
Phone number: 913-384-0834
Mailing Address
-- OCTAVE C MERVEILLE M.D.
6500 ABERDEEN RD
MISSION HILLS, KS 66208-1821
Phone number: 913-384-0834