| NPI | 1487841474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES CANFIELD Owner/Provider 620-624-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 0427942) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-05-21 |