NPI | 1114211059 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM O REED Owner 913-432-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-06-08 |