| NPI | 1760736615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CARLON Authorized Offical 816-508-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-11-06 |