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Organization

ROBERT J DOLE VAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MILTON LEE BEELER C.O. (ABC CERTIFIED ORTHOTIST)
(316) 685-2221
Entity
Organization

Contact information

Practice address
5500 E KELLOGG DR, PROSTHETICS/ORTHOTICS, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3081
Mailing address
5500 E KELLOGG DR, PROSTHETICS/ORTHOTICS, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3081

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V130213
ORTHOTIST
KS
Enumeration date
07/21/2006
Last updated
08/22/2020
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