Organization
LIBERAL FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO J CHACON M.D. (OWNER)
(620) 604-9698
Entity
Organization
Contact information
Practice address
305 W 15TH ST, SUITE 103, LIBERAL, KS 67901
(620) 604-9698
Mailing address
305 W 15TH ST, SUITE 103, LIBERAL, KS 67901
(620) 604-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33980
KS
Other
Enumeration date
06/08/2012
Last updated
06/15/2012
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