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Individual

TERRANCE P RIORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-4477
(785) 842-7433
Mailing address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-4477
(785) 842-7433

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420077
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100198050A
KS
Enumeration date
06/30/2005
Last updated
09/02/2011
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