NPI | 1740219476 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT BRIAN STURDEVANT President 816-887-1987 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 105957) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2008-03-03 |