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Individual

ANTHONY T GOETTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6162
Mailing address
25455 DEER RIDGE RD, LAWRENCE, KS 66044-7353

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2-5653
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100236400B
KS
Enumeration date
07/04/2006
Last updated
02/24/2011
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