| NPI | 1831394121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB K THOMAS Billing Supervisor 785-827-9526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-27938) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-10-09 |