| NPI | 1578847182 |
|---|---|
| Doing Business As | PREMIER PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TANNER HANCOCK Owner 316-683-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-00952) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2014-10-23 |