| NPI | 1518984301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ A SHEPHERD Director Of Medical Billing 785-215-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 250000794) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-08-15 |