| NPI | 1306027446 |
|---|---|
| Doing Business As | VCMA WEST 21ST |
| Entity Type | Organization |
| Authorized Contact | EDWARD J HETT President 316-268-8080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2010-07-14 |