NPI | 1912495896 |
---|---|
Doing Business As | BLUE RIVER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MELISSA WESTCOTT CEO 785-776-2584 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS H075004) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2023-08-17 |