| NPI | 1780914697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. MOFFITT President 620-371-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |