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Organization
THE FAMILY PHYSICIANS PA
Active
Organization
THE FAMILY PHYSICIANS PA
Active
Other names
The Family Physicians, P. A.
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ELAINE O'CONNOR (ADMINISTRATOR)
(620) 365-3115
Entity
Organization
Contact information
Practice address
1408 EAST STREET, IOLA, KS 66749-3004
(620) 365-3115
(620) 365-7717
Mailing address
1408 EAST STREET, IOLA, KS 66749-3004
(620) 365-3115
(620) 365-7717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016668
BLUE CROSS
KS
05
—
100215590A
—
KS
01
—
17D0450573
CLIA
KS
Enumeration date
08/01/2006
Last updated
03/08/2024
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