| NPI | 1497346274 |
|---|---|
| Doing Business As | CHESTNUT WELLNESS |
| Entity Type | Organization |
| Authorized Contact | PATRICK TYSON BLATCHFORD Md 620-441-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2022-01-31 |