NPI | 1487779922 |
---|---|
Doing Business As | SOUTHWEST CLINIC INC |
Entity Type | Organization |
Authorized Contact | JEAN MICHEL HASSAN Physician Owner 620-626-4368 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: KS 0431410) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-02-13 |