| NPI | 1205321569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L MARINO CFO 816-347-4891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2086S0105X Surgery, Surgery of the Hand | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-09-25 |