| NPI | 1316952070 |
|---|---|
| Doing Business As | D/B/A VCMA IOLA |
| Entity Type | Organization |
| Authorized Contact | EDWARD J HETT Do/Managing Partner 620-365-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-01-05 |