| NPI | 1154577799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI SHARP Practice Manager 816-777-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO r6b11) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-10-28 |