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Individual

DR. DAVID W WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT DPT

Contact information

Practice address
400 W 6TH ST, ELLINWOOD, KS 67526-1317
(620) 791-8402
Mailing address
400 W 6TH ST, ELLINWOOD, KS 67526-1317
(620) 791-8402

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11-04706
KS

Other

Enumeration date
09/23/2013
Last updated
09/23/2013
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