| NPI | 1164486809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FREVERT Board Member 816-347-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 154-1) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2023-05-24 |