Organization · Type 2 NPI
Dissociative Associates, LLC
Infusion Therapy Clinic/Center · Lees Summit, MO
NPI number
1316658495
Active
Practice location
817 NE Anderson Ln
Lees Summit, MO 64064-1244
Fax (816) 503-8271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1316658495
Dissociative Associates, LLC's National Provider Identifier is 1316658495, issued on Dec 8, 2022. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Lees Summit, MO. The record was last updated on Dec 8, 2022.