| NPI | 1710084082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L TJADEN Director 316-687-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |