| NPI | 1104982735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E ERVIN Co Office Manager 816-943-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO R7363) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-04-20 |