| NPI | 1750923553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CUSICK VP Operations 816-294-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |