| NPI | 1598887408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA M MARSHALL Billing Administrator 816-271-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 36570) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2002030219) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-09-18 |