| NPI | 1902085251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W PETERS Owner 913-383-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 0428125) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2012-04-05 |