Individual
LEO ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846
(620) 275-3700
Mailing address
311 E SPRUCE ST, GARDEN CITY, KS 67846
(620) 275-3700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-34459
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-34459
KS LICENSE
KS
05
—
200657740A
—
KS
Enumeration date
05/18/2006
Last updated
01/16/2012
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