NPI | 1306985064 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD DOUGLAS ILIFF President 785-271-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS ks1500243) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS ks0418610) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2019-07-30 |