| NPI | 1235408170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L MARINO CFO 816-347-4782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2019-11-07 |