| NPI | 1699774893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MICHELLE GATES Business Manager 816-968-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2000174342) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2021-03-27 |