| NPI | 1881902633 |
|---|---|
| Doing Business As | PAWNEE VALLEY MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAY MOORE Exectutive Director Ppa 785-623-2185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-09-04 |