| NPI | 1104864503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MORFORD Md 316-282-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2025-09-11 |