NPI | 1043334105 |
---|---|
Former Legal Business Name | BRADLEY L FREILICH MD LLC |
Entity Type | Organization |
Authorized Contact | JANAY KISSINGER Nurse Practitioner 816-361-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 105860) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-10-12 |