| NPI | 1225673874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY CLOUGH Practice Manager 316-247-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2025-10-15 |