NPI | 1063830321 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDICE EVANS Credentialing 620-603-8846 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-04-02 |