| NPI | 1033526280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BAHNMAIER Insurance Credentialing Specialist 785-505-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-02-21 |