NPI 1124190632

Cockerell & McIntosh Pediatrics PC

Organisation Primary Care Clinic/Center Blue Springs, MO

Practice location

Address: 205 NW Rd Mize Rd Suite 304, Blue Springs, MO 64014-2518
Phone: (816) 228-4770
Fax: (816) 228-1156
Mailing address: 205 NW R D Mize Rd Suite 304, Blue Springs, MO 64014-2518

Authorised official

Name: Bryan E Wood
Title: General Manager
Phone: (816) 228-4770

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1124190632
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 31 Jan 2011

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.