| NPI | 1053374579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDI MILHON Biller 620-624-5691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2009-02-02 |