| NPI | 1861938433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BOWLIN Owner 816-321-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO R5P18) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |