NPI | 1417591165 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON E. STAHL Owner 913-491-3330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2019-11-05 |
Last Update Date | 2024-01-11 |