| NPI | 1861423956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK FITZGERALD Director/Owner 620-624-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04 27024) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |