| NPI | 1619957123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE A SHICK Business Office Manager 913-540-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-07-01 |