| NPI | 1295918142 |
|---|---|
| Doing Business As | VCMA PEDS GASTRO |
| Entity Type | Organization |
| Authorized Contact | EDWARD J HETT President 316-268-8080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2010-07-14 |