NPI | 1154512978 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFRED GILGORE Physician/President 913-888-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KS 15547) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-27 |