| NPI | 1295792224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WAGNER Practice Manager 816-333-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |