| Organization Name: | F ALLEN MOORHEAD JR |
| NPI Number: | 1457353674 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK ALLEN MOORHEAD (OWNER/PHYSICIAN) |
| Mailing Address: | 709 Main St Neodesha |
| State: | KS US |
| Postal Code: | 667571634 |
| Phone Number: | 6203252200 |
| Fax Number: | 6203252410 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 04-13549 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |