| NPI | 1245617646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL EIDENBERG Vice President/Cmo 785-301-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KS 05-32944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-32944) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-08-12 |