| NPI | 1063453959 |
|---|---|
| Former Legal Business Name | OSTEOPATHIC CLINIC, P.A. |
| Entity Type | Organization |
| Authorized Contact | ALVIN D BIRD President 620-221-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-09-21 |