NPI | 1316463359 |
---|---|
Doing Business As | THE WELL - OVERLAND PARK, W 115TH ST |
Entity Type | Organization |
Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2017-08-22 |
Last Update Date | 2018-02-19 |