| NPI | 1962503540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P. MARCUS BASSETT Owner 785-354-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-09-11 |