| NPI | 1922340223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE EVANS Credentialing 620-603-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: KS 0424425) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology |
| 207RX0202X Internal Medicine Medical Oncology | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-04-02 |