Provider First Line Business Practice Location Address:
301 E ARMOUR BLVD
Provider Second Line Business Practice Location Address:
SUITE 316
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64111-1245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-756-5600
Provider Business Practice Location Address Fax Number:
816-931-7820
Provider Enumeration Date:
06/30/2006