| NPI | 1285019141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA M SNODGRASS Owner 620-357-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 422287) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |