Organization
HEALTH SCIENCE RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MAPHET CCRC (RESEARCH SITE MANAGER)
(620) 672-1234
Entity
Organization
Contact information
Practice address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-1234
(620) 672-2424
Mailing address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-1234
(620) 672-2424
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
0415791
KS
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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