| NPI | 1023374147 |
|---|---|
| Doing Business As | SHOK |
| Entity Type | Organization |
| Authorized Contact | TYRONE M TAYLOR Owner 816-522-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |