Provider Information for 1497024400
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
WESLEY RAYMOND HIRST L.P.C.
Sex: Male
NPI: 1497024400
Last Updated: 2011-12-20
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1497024400 | ||||||||
Enumeration Date | 2011-12-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 5608 CANDLEBERRY DR SAINT JOSEPH, MO 64503-2009 United States Phone: 816-617-2476 | Fax:816-671-4022 | ||||||||
Primary Practice Address | 5608 CANDLEBERRY DR SAINT JOSEPH, MO 64503-2009 United States Phone: 816-617-2476 | Fax:816-671-4022 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|