| NPI | 1730153008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE TURCK Insurance Credentialing Manager 316-686-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |