NPI | 1033162631 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA HAMILTON Executive Assistant 816-350-4536 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MO 191) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-07-03 |