NPI | 1699708842 |
---|---|
Doing Business As | FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | RUSSELL JAY THORNTON Owner 816-224-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 105481) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-02-12 |