Excelsior Springs Physicians Clinic

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1629491105

Excelsior Springs Physicians Clinic is an Adolescent Medicine (Family Medicine) Physician in Excelsior Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in: MO
In the registry since: 2014

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Practice location Address checks out

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone: (816) 629-2623
Fax: (816) 629-2722

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary)	Taxonomy 207QA0000X · Licence R6J43 (MO)

Record details

NPI number	1629491105
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jennifer Boomgarden — Physicians Practice Manager · (816) 629-2623
NPI enumerated	February 4, 2014
Last updated in NPPES	February 4, 2014
Mailing address	1010 N Jesse James Rd, Excelsior Springs, MO 64024-1202