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2051 E Mary St Garden City KS 67846-3617 | |
(620) 272-2222 | |
(620) 272-2216 |
Full Name | |
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Speciality | General Practice |
Location | 2051 E Mary St, Garden City, Kansas |
Authorized Official Name and Position | Amanda R Vaughan (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6202722554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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401 E Spruce St Garden City KS 67846-5679 Ph: (620) 272-2222 | 2051 E Mary St Garden City KS 67846-3617 Ph: (620) 272-2222 |
NPI Number | 1114470010 |
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Provider Enumeration Date | 07/27/2016 |
Last Update Date | 12/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114470010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Plaza Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 N Main St, Garden City, KS 67846 Phone: 620-276-8201 Fax: 620-275-0712 |