| NPI | 1780797142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VIVONA Practice Manager 913-677-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO R7G39) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-08-05 |