NPI | 1558696294 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL LOIUS FALCONE President 913-721-3387 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KS 0432718) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |