| NPI | 1275557761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A MAREK Practice Administrator 316-683-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-02-08 |