NPI | 1740581305 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M HIEBERT President 816-941-6226 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 107537) |
Enumeration Date | 2010-11-12 |
Last Update Date | 2014-04-16 |