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Organization
PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
Active
Organization
PEDIATRIC ASSOCIATES OF MANHATTAN, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY ANN TRUITT (OFFICE MANAGER)
(785) 537-9030
Entity
Organization
Contact information
Practice address
1133 COLLEGE AVE, SUITE G-210, MANHATTAN, KS 66502-2770
(785) 537-9030
(785) 537-3334
Mailing address
1133 COLLEGE AVE, SUITE G-210, MANHATTAN, KS 66502-2770
(785) 537-9030
(785) 537-3334
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003920
BLUE SHIELD
KS
05
—
100087970A
—
KS
Enumeration date
10/06/2006
Last updated
03/18/2014
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