| NPI | 1801064035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA DOCHTERMAN Consultant 816-536-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R8D65) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |