Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-08-03
- Last updated
- 2012-04-25
Specialties
Licenses
- License MO
- 4733
Location
- Practice location
- 1600 E EVERGREEN ST
- City
- CAMERON MO
- Postal code
- 644292400
- Phone
- 816-632-2101
Organization contact
- Name
- JOSEPH ABRUTZ
- Title
- CEO
- Phone
- 8166322101
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.