| NPI | 1144425117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARION LUETJE President 816-531-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: MO 31298) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-12-07 |