Organization
A HEALTHY CHOICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ETHAN VAN NORDEN D.O. (PARTNER)
(620) 804-0385
Entity
Organization
Contact information
Practice address
612 BROADWAY ST, LARNED, KS 67550-3049
(620) 285-6041
(620) 285-6149
Mailing address
612 BROADWAY ST, LARNED, KS 67550-3049
(620) 285-6041
(620) 285-6149
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
05-30418
KS
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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