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 |