NPI | 1669654539 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ARTHUR CARDER President 816-415-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO MD107604) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-03 |