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Organization
SOLOMON VALLEY FAMILY MEDICINE PA
Active
Organization
SOLOMON VALLEY FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A OLLER M.D. (CO-OWNER)
(785) 259-6417
Entity
Organization
Contact information
Practice address
1210 N. WASHINGTON, PLAINVILLE, KS 67663-1632
(785) 259-6417
(785) 434-2577
Mailing address
1210 N. WASHINGTON, PLAINVILLE, KS 67663-1632
(785) 259-6417
(785) 434-2577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-34096
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
KS
05
—
PENDING
—
KS
Enumeration date
07/08/2011
Last updated
10/06/2011
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