| NPI | 1063829562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D EDALATI President 913-884-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2016-06-16 |