| NPI | 1871027086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNE A DAMERON President 620-255-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 1301) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-12-23 |