| NPI | 1528080876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S CLIFFORD Authorized Official/Owner 620-275-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-08-10 |