| NPI | 1609923366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER P. JACKSON President 816-471-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO R5717) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-06-05 |