NPI | 1336314939 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN M THOMAS Sole Proprioter 913-367-2578 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0424755) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2008-04-24 |