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Organization
HIGH PLAINES FOOT SPECIALIST PA
Active
Organization
HIGH PLAINES FOOT SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYNE A DAMERON DPM (OWNER/PRESIDENT)
(620) 227-6661
Entity
Organization
Contact information
Practice address
2200 SUMMERLON CIRCLE, SUITE B, DODGE CITY, KS 67801
(620) 227-6661
(620) 227-7655
Mailing address
2200 SUMMERLON CIRCLE, SUITE B, DODGE CITY, KS 67801
(620) 227-6661
(620) 227-7655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5872
RAILROAD MEDICARE PROV. #
KS
Enumeration date
10/10/2006
Last updated
04/29/2010
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