Organization
TALLGRASS PRIMARY CARE & HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN P BAKER (MEDICAL DIRECTOR)
(913) 588-5000
Entity
Organization
Contact information
Practice address
407 S MAIN ST, OTTAWA, KS 66067-2333
(785) 418-6052
Mailing address
5400 JOHNSON DR # 344, MISSION, KS 66205-2911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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