| NPI | 1134176704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ALAN CONCANNON Secretary/Treasurer 785-738-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-07-27 |