Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 101 South Main, Udall, Kansas |
Authorized Official Name and Position | Brian Barta (CEO) |
Authorized Official Contact | 6202226204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 South Main Udall KS 67146 Ph: (620) 728-4080 | 101 South Main Udall KS 67146 Ph: (620) 728-4080 |
NPI Number | 1720736663 |
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Provider Enumeration Date | 03/10/2022 |
Last Update Date | 01/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720736663 | NPI | - | NPPES |