| NPI | 1891983037 |
|---|---|
| Doing Business As | ADVANCED SURGICAL ARTS |
| Entity Type | Organization |
| Authorized Contact | KELLY DOUGLAS BURCHETT Physician 660-665-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2001010344) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2011-10-14 |