Individual
JOHN PAUL MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 N MAIZE CT, #208, WICHITA, KS 67212-4388
(316) 721-5036
(316) 721-1705
Mailing address
1313 N MAIZE CT, #208, WICHITA, KS 67212-4388
(316) 721-5036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115011
—
KS
Enumeration date
10/21/2014
Last updated
10/21/2014
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