Organization
B E HOWERTER, JR., M.D., P.A.
Active
Other names
Bernard Howerter, Jr., M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY FUGATE CPC (CREDENTIALING/BILLER/CODER)
(620) 251-4790
Entity
Organization
Contact information
Practice address
209 W. 7TH STREET, SUITE 5, COFFEYVILLE, KS 67337-4903
(620) 251-4790
(620) 251-4791
Mailing address
PO BOX 659, 209 W 7TH STREET, SUITE 5, COFFEYVILLE, KS 67337-0659
(620) 251-4790
(620) 251-4791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0415260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415260
LICENSE
KS
05
—
100081680A
—
KS
Enumeration date
02/22/2010
Last updated
03/09/2010
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