| 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 |