| NPI | 1811924780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ISAAC DAVIS President 913-648-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 0429493) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-06-07 |