NPI | 1730961830 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW LINDQUIST Owner 913-303-1165 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
133V00000X Dietitian, Registered | |
207RB0002X Internal Medicine, Bariatric Medicine | |
2080B0002X Pediatrics, Obesity Medicine | |
Enumeration Date | 2023-10-16 |
Last Update Date | 2025-01-27 |