| NPI | 1851418404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLETTA PERGESON Office Manager 316-733-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0427794) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-11-23 |