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Individual

DR. SAMUEL L DANDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 6TH AVE, STE. 320, LEAVENWORTH, KS 66048-3222
(913) 651-6565
(913) 651-2087
Mailing address
1001 6TH AVE, STE 320, LEAVENWORTH, KS 66048-3248
(913) 651-6565
(913) 772-8806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-30685
KS
207Q00000X
Family Medicine Physician
35072819
OH

Other

Enumeration date
06/09/2005
Last updated
02/18/2020
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