| NPI | 1740333509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RAE MILLER Practice Administrator 620-275-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |