PROVIDENCE MEDICAL GROUP

KANSAS CITY, KS
NPI1952947939
Entity TypeOrganization
Authorized ContactDIEDRE MCDANIEL
Medical Staff Office
913-596-4000
Organization Subpart ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
Enumeration Date2019-11-25
Last Update Date2019-11-26
Business Address
PROVIDENCE MEDICAL GROUP
8919 PARALLEL PKWY STE 555
KANSAS CITY, KS 66112-3628
Phone number: 913-596-3930
Mailing Address
PROVIDENCE MEDICAL GROUP
8919 PARALLEL PKWY STE 555
KANSAS CITY, KS 66112-3628
Phone number: 913-596-3930