| NPI | 1467641076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY E CUEZZE Physician 816-931-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2017-08-29 |