| NPI | 1134420821 |
|---|---|
| Doing Business As | VINTAGE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOSHUA HESTON Practice Manager 785-408-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2020-09-28 |