Individual
DAVID W. FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7462
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO001635
KS
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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