| NPI | 1962767061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY AARON PEARSON Owner 816-686-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005018781) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-02-01 |