| NPI | 1689632846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANETTE MARIE PALMER Office Manager 816-765-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 36345) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-08-26 |