| NPI | 1639413347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY DEHARDT Practice Administrator 913-302-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2021-09-28 |