| The Doctor's Office, Llc | |
|
11 W Parkway Blvd Liberal KS 67901-2081 | |
| (620) 624-0142 | |
| (620) 624-2660 |
| Full Name | The Doctor's Office, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11 W Parkway Blvd, Liberal, Kansas |
| Authorized Official Name and Position | Brandi Leah Boller (MEMBER/MANAGER) |
| Authorized Official Contact | 6206240142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctor's Office, Llc 11 W Parkway Blvd Liberal KS 67901-2081 Ph: (620) 624-0142 | The Doctor's Office, Llc 11 W Parkway Blvd Liberal KS 67901-2081 Ph: (620) 624-0142 |
| NPI Number | 1689967317 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689967317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0531584 (Kansas) | Primary |
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