| NPI | 1669577524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN D GOLDSTEIN Medical Director 913-451-7546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: KS S046023) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-06-18 |