| NPI | 1902176332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REEH Owner/President 620-947-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-01-02 |