Organization
OSWALDO C BACANI MD CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSWALDO C BACANI MD (OWNER)
(620) 378-3700
Entity
Organization
Contact information
Practice address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
(620) 378-3536
Mailing address
PO BOX 576, FREDONIA, KS 66736-0576
(620) 378-3700
(620) 378-3536
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0417538
KS
208D00000X
General Practice Physician
Primary
0417538
KS
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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