| NPI | 1952734741 |
|---|---|
| Former Legal Business Name | MID AMERICA PHYSICIAN SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY S ROBINSON Administrator 913-266-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2014-02-03 |