Individual
DR. ROMAN POHORECKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15TH AT PERSHING, LIBERAL, KS 67901-2455
(620) 624-1651
(620) 629-6655
Mailing address
PO BOX 739, LIBERAL, KS 67905-0739
(620) 624-1550
(620) 624-2545
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-27483
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101423
BLUE CROSS
KS
Enumeration date
06/15/2006
Last updated
07/08/2007
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