| NPI | 1073543070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE D FREEBORN Office Manager 816-531-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-03-20 |