| NPI | 1487790267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA REAVIS Office Manager 816-415-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-08-19 |