| NPI | 1104864503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MORFORD Md 316-282-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |