NPI 1679344402
Independence Mc, LLC
Practice location
- Address
- 19400 E 40th Street CT S, Independence, MO 64057-1548
- Phone
- (816) 478-5689
- Mailing address
- 262 N University Ave, Farmington, UT 84025-2975
Authorised official
- Name
- John Mitchell
- Title
- Secretary
- Phone
- (385) 988-3319
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1679344402
- Entity type
- Organization
- NPI issued
- 10 Jan 2024
- Record last updated
- 21 Aug 2024
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.