| NPI | 1538475777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEE WEED President 816-468-8632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MO R6G15) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |