| NPI | 1275564346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HECHLER Medical Director 660-747-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 165-0) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-04-30 |