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 |