| NPI | 1962767061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY AARON PEARSON Owner 816-686-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-06-17 |