| NPI | 1982205308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHI S SMITH Practice Manager 913-815-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-01-14 |