| NPI | 1538125703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREASURE A. WEHNER Physician 620-221-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-10-14 |