Organization
FAMILY PRACTICE ASSOCIATES OF ULYSSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG E JOHNSON DO (OWNER)
(620) 356-5870
Entity
Organization
Contact information
Practice address
202 W KANSAS AVE, ULYSSES, KS 67880-2034
(620) 356-5870
(620) 356-5867
Mailing address
202 W KANSAS AVE, ULYSSES, KS 67880-2034
(620) 356-5870
(620) 356-5867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-27920
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454690A
—
KS
Enumeration date
03/17/2006
Last updated
09/03/2010
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