| NPI | 1679531263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H ANDRES Physician 816-671-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO MOR4278) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |