| NPI | 1134225345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK C KORANDA Owner 816-454-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-01-30 |