| NPI | 1023210556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S DEVINS Owner Doctor 816-363-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 28935) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-05-21 |