| NPI | 1902048937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH L COTTON Credentials Manager 913-684-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS 1381088062) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |