| NPI | 1689095895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON F MOSS Owner 816-404-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2010003837) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2007035558) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MO 2010003837) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2014-04-11 |