Individual
DR. PHILIP TAYLOR DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3460
(316) 858-3458
Mailing address
707 N EMPORIA ST, WICHITA, KS 67214-3707
(316) 858-3460
(316) 858-3458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-37204
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110173288
MEDICARE
—
01
—
200535200A
OK MEDICAID
OK
Enumeration date
06/27/2007
Last updated
06/24/2014
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