Whalio Doctors

NPI 1073390696

Mc Medical LLC

Organisation General Practice Physician Gladstone, MO

Practice location

Address
7209 N Prospect Avenue, Gladstone, MO 64119
Phone
(479) 258-2080
Mailing address
702 SW 8th St # Ms 0445, Bentonville, AR 72716-6209

Authorised official

Name
Richard Henry
Title
Enrollment Manager
Phone
(479) 258-2080

Registered specialties (7)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X

Registry record

NPI
1073390696
Entity type
Organization
NPI issued
8 Sep 2023
Record last updated
20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.