NPI | 1285701763 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD J EDWARDS Owner 785-783-4571 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: KS 04-28283) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-04-15 |