| NPI | 1811177967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CARL SIRAGUSO Owner/Physician 816-415-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO 006282) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-12-21 |