Organization
SALINA NEUROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L DOUGHERTY (ADMINISTRATOR)
(785) 833-2220
Entity
Organization
Contact information
Practice address
807 E. PRESCOTT AVE., SALINA, KS 67401
(785) 833-2220
(785) 833-2221
Mailing address
807 E. PRESCOTT AVE., SALINA, KS 67401
(785) 833-2220
(785) 833-2221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0429605
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100427040A
—
KS
Enumeration date
04/27/2011
Last updated
04/27/2011
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