| NPI | 1952393977 |
|---|---|
| Former Legal Business Name | THE LIBERTY CLINIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH W CROSSETT Administrator 816-781-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2022-07-21 |