| NPI | 1750614293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C FLETCHER Member 316-440-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 04-33631) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-33631) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-04-07 |