| NPI | 1629517107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN E WOOD Practice Administrator 816-228-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2016036885) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |