| NPI | 1639287824 |
|---|---|
| Doing Business As | SAMUEL O FADARE, MD, PC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL O FADARE Owner 816-225-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-12-08 |