| NPI | 1528150638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TAYLOR PRESCOTT Physician 620-241-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: KS 0424731) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |