Individual
DR. EVE COLLINS SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 W CENTRAL AVE, SUITE 202, EL DORADO, KS 67042-2184
(316) 321-8762
(316) 321-8775
Mailing address
700 W CENTRAL AVE, SUITE 202, EL DORADO, KS 67042-2184
(316) 321-8762
(316) 321-8775
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
28369
AZ
207Y00000X
Otolaryngology Physician
G72121
CA
207Y00000X
Otolaryngology Physician
Primary
KS04-24830
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148290B
—
KS
05
—
735350
—
AZ
01
—
AZ0730930
BCBSAZ
AZ
Enumeration date
10/25/2006
Last updated
03/17/2018
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