| NPI | 1437237401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES BOLDRY CEO 816-260-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S046016) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |