| NPI | 1063613057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. PETERSON VP,Treasurer 816-842-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO mdr5p) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO r7b57) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |