| NPI | 1205222783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER AARON MORRISSEY President 620-221-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 05-34508) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |