Individual
ROGER DRURY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 S HANOVER ST, HANOVER, KS 66945-0038
(785) 337-2214
(785) 337-2727
Mailing address
205 S HANOVER ST, HANOVER, KS 66945-8924
(785) 337-2214
(785) 337-2727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-11294
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083660B
—
KS
Enumeration date
01/27/2006
Last updated
12/12/2011
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