| NPI | 1790965564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISHONA JONES Billing Manager 816-455-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 12-00342) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |