Individual
LEONARD JOHN UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2229 N MAIZE RD, WICHITA, KS 67205-7301
(316) 722-0741
Mailing address
12343 MERIBEAU CT, WICHITA, KS 67235-1443
(316) 616-8750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2-09994
KS
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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