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Individual

JOHN M MCEACHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 284-5160
(316) 284-5115
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26046
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055625
BCBS
KS
01
11573
PHS
KS
01
12149380
MULTIPLAN
KS
01
16996
COVENTRY
KS
01
200625
HPK
KS
Enumeration date
06/17/2006
Last updated
07/13/2007
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