| NPI | 1699765123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER LANG Cheif Executive Officer 816-380-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |