Individual
DANIEL MARCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
707 W MAIN ST, ANTHONY, KS 67003-2752
(620) 842-5596
(620) 842-3521
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 636-2010
(316) 691-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1842
KS
152W00000X
Optometrist
5634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200616570A
—
KS
05
—
2710972
—
OH
Enumeration date
07/18/2006
Last updated
12/06/2013
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