Organization · Type 2 NPI

Geriatric Primary Care PA

Family Medicine Physician · Raymore, MO

NPI number 1073082350 Active

Practice location

1500 W Foxwood Dr Ste B
Raymore, MO 64083-9372

Call (850) 377-0925 Map

Fax (888) 779-3217

Mailing address

12120 State Line Rd, Pmb 296
Leawood, KS 66209-1254

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1073082350

Geriatric Primary Care PA's National Provider Identifier is 1073082350, issued on Nov 16, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Raymore, MO. The record was last updated on Jul 1, 2025.