| NPI | 1457688269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA KREADER Practice Manager 913-642-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |