Organization
WHEATLAND FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA MARIE FERRALES (CREDENTIALING)
(505) 647-8366
Entity
Organization
Contact information
Practice address
700 MEDICAL CENTER DR, STE. 101, NEWTON, KS 67114-9013
(316) 281-9504
(316) 281-9531
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0431518
KS
Other
Enumeration date
05/15/2007
Last updated
05/28/2009
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