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Individual

RALPH C B IMLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 W 13TH ST, HARPER, KS 67058-1401
(620) 896-7306
(620) 896-7127
Mailing address
700 W 13TH ST, HARPER, KS 67058-1401
(620) 896-7306
(620) 896-7127

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0423877
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100293000M
KS
Enumeration date
03/31/2006
Last updated
06/29/2010
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