Organization
DOCTORS OFFICE LLC
Active
Other names
The Doctor's Office, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI LEAH BOLLER D.O. (MEMBER/MANAGER)
(620) 624-0142
Entity
Organization
Contact information
Practice address
11 W PARKWAY BLVD, LIBERAL, KS 67901-2081
(620) 624-0142
(620) 624-2660
Mailing address
11 W PARKWAY BLVD, LIBERAL, KS 67901-2081
(620) 624-0142
(620) 624-2660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0531584
KS
Other
Enumeration date
05/27/2011
Last updated
08/03/2011
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