NPI | 1457344301 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA K RAGSDALE Family Physician 620-223-8040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: KS 05-28424) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2020-08-22 |