NPI | 1013018076 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN CLINEFELTER Provider Authorized Official 816-221-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2006-09-25 |
Last Update Date | 2025-07-24 |