Individual
LUIS E ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 COMMODORE ST STE B, PRATT, KS 67124
(620) 672-6454
(620) 672-3488
Mailing address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 672-7451
(620) 672-2113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
263005662
KS
Other
Enumeration date
09/05/2006
Last updated
10/22/2019
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