| NPI | 1487671384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A SPENCERI Medical Director 913-327-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 30619) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-05-09 |