Organization
DODGE CITY DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI L REITER (MANAGER)
(620) 227-7771
Entity
Organization
Contact information
Practice address
2603 CENTRAL AVENUE, DODGE CITY, KS 67801-6200
(620) 227-7771
Mailing address
2603 CENTRAL AVENUE, DODGE CITY, KS 67801-6200
(620) 227-7771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428180A
—
KS
01
—
1447259221
DR. ALEXANDER B. NEEL
KS
Enumeration date
07/12/2006
Last updated
02/24/2016
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