Individual
DR. PAUL D. WARDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3131
(785) 483-4859
Mailing address
1337 S. FOUNTAIN DRIVE, OLATHE, KS 66061
(785) 483-3131
(785) 483-4859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21220
KS
207Q00000X
Family Medicine Physician
DR.0055619
CO
Other
Enumeration date
02/27/2006
Last updated
09/26/2017
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