| NPI | 1194001750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LEE BUTLER Owner 316-943-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KS 01-03428) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-11-16 |