| NPI | 1083864219 |
|---|---|
| Doing Business As | UNIVERSITY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JOEL T ERSKIN CEO/Physician Assistant 620-805-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: KS KS0434389) |
| Additional Taxonomies | 202K00000X (Licence: KS 0416265) |
| 363AS0400X Physician Assistant, Surgical (Licence: KS 1500265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 45404) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-03-05 |