| NPI | 1538128558 |
|---|---|
| Other Name | SNODGRASS RURAL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARY ANN BLIDE Office Assistant 620-285-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-01-28 |