NPI | 1003211269 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD HERRMAN President 785-623-5523 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
225100000X Physical Therapist | |
207Q00000X Family Medicine | |
Enumeration Date | 2014-10-30 |
Last Update Date | 2018-10-09 |