| NPI | 1225673874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD LIBRODO Owner 316-452-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-08-10 |