| NPI | 1609967645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J ASHER Office Manager 816-587-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: AZ OTC 3365) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-08-03 |