| NPI | 1487313151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCHROEDER Owner 620-663-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |