Organization
FAMILY CARE CLINIC OF WESTERN KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. MOFFITT M.D. (PRESIDENT)
(620) 371-7300
Entity
Organization
Contact information
Practice address
200 W ROSS BLVD, DODGE CITY, KS 67801-7221
(620) 371-7300
(620) 371-7304
Mailing address
200 W ROSS BLVD, DODGE CITY, KS 67801-7221
(620) 371-7300
(620) 371-7304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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