| NPI | 1942437504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENDA JACOBSON Surgery And Billing Support Manager 913-671-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2017-10-11 |