| NPI | 1245785740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN MARKWAY Owner 816-591-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO R4D97) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |