Individual
J SAMUEL TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
Mailing address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29879
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067270
MEDICARE PTAN
KS
05
—
100425360A
—
KS
Enumeration date
08/03/2006
Last updated
11/06/2025
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