| NPI | 1306021860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GORDON GAGE Owner 316-644-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: KS 01-03389) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-04-20 |