NPI | 1225177835 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN LEO HOFFMANN Owner 816-353-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO R3755) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2008-07-15 |