| NPI | 1508072950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONNIE HARRISON Treasurer Controllers Office 660-626-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 117553) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 2004028645) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |