| NPI | 1023318375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSIO P MENDIOLA Medical Doctot 620-378-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-19733) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-11 |