Organization
THE FAMILY PHYSICIANS PA
Active
Other names
The Family Physicians, P. A.
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ELAINE O'CONNOR (ADMINISTRATOR)
(620) 365-3115
Entity
Organization
Contact information
Practice address
1408 EAST STREET, IOLA, KS 66749-3004
(620) 365-3115
(620) 365-7717
Mailing address
1408 EAST STREET, IOLA, KS 66749-3004
(620) 365-3115
(620) 365-7717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016668
BLUE CROSS
KS
05
—
100215590A
—
KS
01
—
17D0450573
CLIA
KS
Enumeration date
08/01/2006
Last updated
03/08/2024
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