Organization
OTTAWA FAMILY PHYSICIANS, CHARTERED
Active
Parent organization
OTTAWA FAMILY PHYSICIANS, CHTD.
Other names
OTTAWA CARE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTTAWA FAMILY PHYSICIANS, CHTD.
Authorized official
DENISE LYNN MCPHERON (ADMINISTRATOR)
(785) 242-1620
Entity
Organization
Contact information
Practice address
120 E 19TH ST STE A, OTTAWA, KS 66067-4300
(785) 214-4903
(785) 214-4622
Mailing address
1418 S MAIN ST, STE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-5061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
10/15/2018
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