| NPI | 1477586030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACE W. HYDER Owner/Manager 316-687-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-06-20 |