NPI | 1871018085 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS ANH PHAM Owner 816-590-9456 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 53133) |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2017-08-08 |
Last Update Date | 2021-04-08 |