| NPI | 1467673624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE STOKES President 816-587-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO R6102) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |