| NPI | 1982211728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J GRAVES Accountant 816-729-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-12-23 |