NPI | 1093263717 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMARA L HARPER CFO 816-599-9563 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine |
207ND0900X Dermatology Dermatopathology | |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine Cardiovascular Disease | |
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
207X00000X Orthopaedic Surgery | |
208100000X Physical Medicine & Rehabilitation | |
208200000X Plastic Surgery | |
2084N0400X Psychiatry & Neurology Neurology | |
2085R0202X Radiology Diagnostic Radiology | |
208600000X Surgery | |
2086S0127X Surgery Trauma Surgery | |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2024-11-14 |