| NPI | 1295946135 |
|---|---|
| Doing Business As | TWIN RIVERS SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PAUL HARRIS Owner 620-342-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 0521008) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-06-16 |