| NPI | 1285681577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERDON W PARHAM Owner 620-432-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-03-06 |