| NPI | 1730944760 |
|---|---|
| Doing Business As | AMBERWELL HIAWATHA OCCUPATIONAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEFFERY R PERRY CEO 913-367-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |