| NPI | 1730621988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B SMITH Owner 816-841-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-07-21 |