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 |