Individual
MARTIN WAYNE DILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 S PLUMMER AVE, CHANUTE, KS 66720-1950
(620) 431-2500
(620) 431-4418
Mailing address
505 S PLUMMER AVE, PO BOX 946, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-4418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0432247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200541180A
—
KS
Enumeration date
04/20/2007
Last updated
08/03/2011
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