| NPI | 1851767032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALY A GADALLA Owner 316-686-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KS 04-29832) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |