| NPI | 1275554099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PEDERSON Manager 913-321-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-13172) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |