| NPI | 1356393367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SONGER PFOFF President 785-890-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KS 04-16837) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 18036) |
| 207W00000X Ophthalmology (Licence: NE 17630) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |