| NPI | 1184740540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN E DOUGLAS Owner 620-343-9232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: KS 01-04630) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |