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Individual

SAMUEL ORNELAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1133 COLLEGE AVE STE C143, MANHATTAN, KS 66502-2751
(785) 539-7641
(785) 537-7620
Mailing address
1133 COLLEGE AVE STE C143, MANHATTAN, KS 66502-2751
(785) 539-7641
(785) 537-7620

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9408359
KS
2085R0202X
Diagnostic Radiology Physician
Primary
0438267
KS
2085R0202X
Diagnostic Radiology Physician
R6862
TX

Other

Enumeration date
06/20/2014
Last updated
10/20/2020
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