| NPI | 1568816965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR FLINN VP Of Professional Services 913-426-4995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 2086S0129X Surgery, Vascular Surgery (Licence: MA 228580) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-08-20 |