| NPI | 1598031601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R PHILLIPS Sole Owner 417-553-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-35567) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |