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1770649022
BLUE RIVER MEDICAL GROUP, LLC
INDEPENDENCE, MO
NPI
1770649022
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Entity Type
Organization
Authorized Contact
DEAN MUNDHENKE
President
816-373-3006
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-12-29
Last Update Date
2008-10-10
Business Address
BLUE RIVER MEDICAL GROUP, LLC
4911 S ARROWHEAD DR SUITE 101
INDEPENDENCE, MO 64055-7005
Phone number: 816-373-3006
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Mailing Address
BLUE RIVER MEDICAL GROUP, LLC
4911 S ARROWHEAD DR SUITE 101
INDEPENDENCE, MO 64055-7005
Phone number: 816-373-3006
Copy
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