NPI | 1699590166 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX NEDZELSKIY Billing Manager 913-228-1918 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |