NPI | 1689967317 |
---|---|
Doing Business As | THE DOCTOR'S OFFICE, LLC |
Entity Type | Organization |
Authorized Contact | BRANDI LEAH BOLLER Member/Manager 620-624-0142 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 0531584) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-08-03 |