ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE

SAINT JOSEPH, MO
NPI1962859090
Entity TypeOrganization
Authorized ContactELIZABETH RODERICK
Nurse Practictioner
816-271-4495
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  138383)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE
4525 DOWNS DR BLUM UNION ROOM 203
SAINT JOSEPH, MO 64507-2246
Phone number: 816-271-4495
Mailing Address
ESRY STUDENT HEALTH CENTER MISSOURI WESTERN STATE
4525 DOWNS DR BLUM UNION ROOM 203
SAINT JOSEPH, MO 64507-2246
Phone number: 816-271-4495
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