| NPI | 1093047185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DOUGLAS POWELL President/Owner 620-252-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: KS 04-14232) |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology (Licence: OK 9106) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |