| NPI | 1225001530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAIL ANSARI President 620-624-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-12-13 |