| NPI | 1043556400 |
|---|---|
| Doing Business As | ST ROSE FAMILY MEDICINE & URGENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMANDA R VAUGHAN CFO 620-272-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2013-07-30 |