| NPI | 1174198568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M MEISTER Owner 316-281-3716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-05-20 |