| NPI | 1982287496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONGJIN YOON Attending Physician 316-570-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-07-15 |