Organization
OCCUPATIONAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY DOUGLAS BRIGGS JR. PA (PHYSICIAN ASSISTANT)
(620) 357-5643
Entity
Organization
Contact information
Practice address
601 ATKIN ST, JETMORE, KS 67854-9307
(620) 357-5643
Mailing address
PO BOX 1697, DODGE CITY, KS 67801-1697
(620) 357-5643
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
15-0602
KS
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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