| NPI | 1275931263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA PUENTES Family Practice Physician Assistant 316-759-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |