Organization · NPI-2

Charles E Mcgrath DO PC

Clinic/Center · Independence, MO

NPI number1821335134
StatusActive
Last updated in NPPESJan 7, 2013

Details

NPI
1821335134
Entity type
Organization (NPI-2)
Legal business name
Charles E Mcgrath DO PC
Organization subpart
No
Enumeration date
Jan 7, 2013
Last updated
Jan 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center34431MOYes

Other names

  • Noland Family Care (Doing Business As)

Practice location

514 S Noland Rd
Suite 130
Independence, MO 64050-3976

Phone 816-254-1781 · Fax 816-254-2182

Mailing address

514 S Noland Rd
Suite 130
Independence, MO 64050-3976

Phone 816-254-1781 · Fax 816-254-2182

Authorized official

Charles Edward Mcgrath
Owner
8162541781

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