NPI | 1598903874 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA JOANN TOON Owner 620-804-2691 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: KS 45341) |
Enumeration Date | 2009-01-26 |
Last Update Date | 2009-01-26 |