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15101 Glenwood Ave Stanley KS 66223-3154 | |
(913) 681-8866 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 15101 Glenwood Ave, Stanley, Kansas |
Authorized Official Name and Position | Chuck Chambers (ADMINISTRATOR) |
Authorized Official Contact | 9134690503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 741331 Atlanta GA 30374-1331 Ph: (913) 469-0503 | 15101 Glenwood Ave Stanley KS 66223-3154 Ph: (913) 681-8866 |
NPI Number | 1437314838 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
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1437314838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |