| NPI | 1851144539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA BEACHY Director Of Credentialing 816-844-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |