NPI | 1053480897 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CARMEN CIROCCO Owner 913-831-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KS 0424933) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MO 105102) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |