| NPI | 1407388739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L SOUTHWICK President 785-530-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 4301095882) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-01-07 |