| NPI | 1881041549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F, SCOTT DATTEL Owner/Provider 816-941-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 100376) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |