NPI | 1982114302 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON L ROWLAND Owner 816-895-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2017-10-11 |
Last Update Date | 2018-10-26 |