| NPI | 1457183469 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASTON GOLDSWORTHY CEO/Owner 816-674-2693  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain | 
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care | 
| Enumeration Date | 2024-08-19 | 
| Last Update Date | 2024-08-19 |