| NPI | 1760659734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY EVERETTE Certified First Assistant 816-358-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: MO 06-302) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |