| NPI | 1770536401 |
|---|---|
| Doing Business As | GOOD SAMARITAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | FRED MCCLEAN President 316-688-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |