| NPI | 1639573561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT ROUSE Dermatologist 816-977-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO lc001419345) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |