| NPI | 1467659243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. ROSE Sole Proprietor 620-421-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-27344) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2009-09-22 |