| 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 |