Organization
ISSARA I. AYUTHIA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSARA AYUTHIA MD (PRESIDENT)
(620) 225-8437
Entity
Organization
Contact information
Practice address
3001 AVENUE A, DODGE CITY, KS 67801-6508
(620) 225-9050
Mailing address
PO BOX 1331, DODGE CITY, KS 67801-1331
(316) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
09/11/2025
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