| NPI | 1578532081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE EVANS Credentialing 620-603-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2024-04-02 |