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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INDEPENDENCE MEDICAL GROUP PC

Active Organization

INDEPENDENCE MEDICAL GROUP PC is a Specialist organization located in INDEPENDENCE, Missouri. NPI 1255545737 is currently active in the NPPES registry. Verify at CMS.

Specialist · INDEPENDENCE, MO

Registration Details

NPI Number
1255545737
Provider Type
Organization
NPI Issued
May 10, 2007 (19.301650670745 yrs)
Last Updated
Aug 22, 2020
License
103646 (MO)

Practice Information

Address
17601 E US HIGHWAY 40
SUITE S
INDEPENDENCE, MO, 640555434
Browse MO providers · Browse ZIP 64055
Phone
8163730655
Fax
8164786374
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.