| NPI | 1508862996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D DE PRIEST Medical Director 816-364-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 136-0) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-12-31 |