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 |