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Individual

DR. DAVID L WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD PA

Contact information

Practice address
2520 N 14TH AVE, DODGE CITY, KS 67801-2315
(620) 227-3071
(620) 227-6911
Mailing address
2520 N 14TH AVE, DODGE CITY, KS 67801-2315
(620) 227-3071
(620) 227-6911

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1007-2
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090850A
KS
01
410012459
RAILROAD MEDICARE
KS
Enumeration date
09/16/2006
Last updated
01/29/2009
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