| NPI | 1598027922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE C MACFARLANE Bussiness Office Manager 816-836-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MO R7571) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |