| NPI | 1720445950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES SEBERGER President 316-260-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KS 0431068) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |