| NPI | 1770080673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBRY MAE BOYCE Clinic Manager 316-330-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-11-01 |