Organization
OTTAWA FAMILY PHYSICIANS, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PHILLIP SPRATT M.D. (PRESIDENT)
(785) 242-1620
Entity
Organization
Contact information
Practice address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Mailing address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003800
BLUE CROSS BLUE SHIELD GR
KS
05
—
100004330B
—
KS
05
—
100004330E
—
KS
Enumeration date
06/19/2006
Last updated
10/02/2009
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