| NPI | 1760839179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A BUTLER Owner 316-265-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-36315) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2017-04-29 |