| NPI | 1720736663 |
|---|---|
| Doing Business As | WILLIAM NEWTON UDALL CLINIC |
| Doing Business As | UDALL RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN BARTA CEO 620-222-6204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-01-17 |