| NPI | 1013439926 |
|---|---|
| Doing Business As | SBA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARK ROOKER CIO/COO 316-322-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |