| NPI | 1700134004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A GREENFIELD Owner 913-663-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KS 6643217) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-12-10 |