| NPI | 1821013509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ASTEL WALLER Office Manager Nurse Practitioner 816-554-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-05-07 |