Individual
DR. THOMAS GREGORY DULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1302 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-3707
Mailing address
1302 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-3707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS 1167-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217840B
—
KS
Enumeration date
04/14/2006
Last updated
05/26/2016
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