NPI | 1477626547 |
---|---|
Doing Business As | DESOTO FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | STEVEN DONALD RETTINGER CEO 913-422-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |