Individual
BOB DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
712A SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 275-1766
Mailing address
224 N TAYLOR AVE, GARDEN CITY, KS 67846-5130
(620) 640-4645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79117
KS
Other
Enumeration date
01/14/2021
Last updated
02/03/2021
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