111N00000X
St Joseph, MO
Specialty
111N00000X
Credential
D.C.
NPI
1033398524
3201 Ashland Ave, St Joseph, MO 64506
(816) 279-0079Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 111n00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 111N00000X