Individual
BENJAMIN K DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 227-3371
(785) 227-3004
Mailing address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 227-3371
(785) 227-3004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-31874
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200381630B
—
KS
Enumeration date
07/08/2006
Last updated
02/28/2014
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