NPI | 1013315209 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DIXON GARDNER CEO 785-537-4940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 0416479) |
Enumeration Date | 2014-12-20 |
Last Update Date | 2014-12-20 |