NPI | 1821287970 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN S FISHER President 913-205-5735 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000249) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2012-10-04 |