| 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 |