NPI 1194075788

Healthstat- Independence School District

Organisation Preventive Medicine/Occupational Environmental Medicine Physician Independence, MO

Practice location

Address: 1516 W. Maple, Independence, MO 64050
Phone: (704) 529-6161
Mailing address: 4651 Charlotte Park Dr. Suite 300, Charlotte, NC 28217

Authorised official

Name: Warren Hutton
Title: Coo
Phone: (704) 529-6161

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X

Other Preventive Medicine providers in Missouri →

Registry record

NPI: 1194075788
Entity type: Organization
NPI issued: 12 Sep 2012
Record last updated: 12 Sep 2012

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.