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Individual

JEREMY JOHN PRESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 W ROSS BLVD, DODGE CITY, KS 67801
(620) 225-1650
(620) 227-2505
Mailing address
120 W ROSS BLVD, DODGE CITY, KS 67801
(620) 225-1650
(620) 227-2505

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33281
KS
207Q00000X
Family Medicine Physician
046801
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200666120A
KS
Enumeration date
06/18/2007
Last updated
06/04/2012
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