| NPI | 1134203615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD STITT Friend 913-485-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX J4553) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX J4553) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |