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Drbryanbaker.Com LLC

Clinic/Center in Independence, MO. Organization (NPI-2).

NPI number1932522182
StatusActive
Last updated in NPPESFeb 3, 2014

Details

NPI
1932522182
Entity type
Organization (NPI-2)
Legal business name
Drbryanbaker.Com LLC
Organization subpart
No
Enumeration date
Jan 23, 2014
Last updated
Feb 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Spine Hand And Foot Clinic (Doing Business As)

Practice location

13723 E 39th St S
Independence, MO 64055-3321

Phone 816-252-1587

Mailing address

13723 E 39th St S
Independence, MO 64055-3321

Phone 816-252-1587

Authorized official

Bryan Craig Baker
Sole Member
8162521587

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