| NPI | 1760798540 |
|---|---|
| Doing Business As | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | TODD CARLON Vice President 816-508-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2012-12-04 |