| NPI | 1548324643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WILSON Practice Manager 816-796-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-07-02 |