| NPI | 1891715652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN HOLDEN President 816-380-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-01-02 |