| NPI | 1457484198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANN M DREILING Office Manager 785-625-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 10856) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KS 10856) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |