| NPI | 1275808024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK E. THOMPSON Owner 816-781-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO R8A10) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |