NPI | 1710172234 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA STANLEY Owner And Operator 816-444-6055 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R9J37) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2007-09-10 |