Organization
WESTERN ROOTS MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE RACHELLE BRIGGS APRN (SOLE MEMBER)
(785) 953-5953
Entity
Organization
Contact information
Practice address
123 E 2ND ST, GRAINFIELD, KS 67737-3505
(405) 301-2708
Mailing address
PO BOX 21, GRAINFIELD, KS 67737-0021
(785) 953-5953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
09/06/2024
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