| NPI | 1164829149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L BELVILLE President/Secretary 816-233-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: MO 2003013938) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |