Organization
ANTHONY J CANFIELD MD FACS, L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JAMES CANFIELD MD, FACS (OWNER/PROVIDER)
(620) 624-4946
Entity
Organization
Contact information
Practice address
1411 W 15TH ST, SUITE 302, LIBERAL, KS 67901-2288
(620) 624-4946
(620) 624-0952
Mailing address
1411 W 15TH ST, SUITE 302, LIBERAL, KS 67901-2288
(620) 624-4946
(620) 624-0952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0427942
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100396510A
—
KS
01
—
111368
BCBSKS
KS
01
—
DG2696
MEDICARE RAILROAD
KS
Enumeration date
10/03/2007
Last updated
05/21/2008
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