| NPI | 1457689770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK TELLIN PETERSON CEO 785-234-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |