| NPI | 1730203894 |
|---|---|
| Doing Business As | STATE AVENUE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN BROWN Director Of Billing 913-945-5603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-11-30 |