| NPI | 1689246753 |
|---|---|
| Doing Business As | PRMC INFUSION AND WOUND CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINCENT S WILCZEK Controller 620-672-7451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |