NPI | 1477769123 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M BRICK Owner Physician 816-333-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 32700) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |