| NPI | 1730599127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BACHMAN Vice President 620-208-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-03-09 |