| NPI | 1265739288 |
|---|---|
| Doing Business As | JEFFERSON MEDICAL CLINIC VALLEY FALLS |
| Entity Type | Organization |
| Authorized Contact | LAMONT COOK CEO 913-774-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2014-12-04 |