| NPI | 1659806453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA N MILLER Assistant Manager 816-647-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2006015219) |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2024-09-19 |