| NPI | 1013395235 |
|---|---|
| Doing Business As | BANNISTER INTERNAL MEDICINE CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | FATIMA H KHAN Owner 816-599-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2010019768) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-07-20 |