NPI | 1558329508 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T POGGI Owner/Physician 316-269-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 04-29591) |
Additional Taxonomies | 174400000X Specialist (Licence: KS 04-29591) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2015-02-04 |