Individual
MR. BRIAN WAYNE RAZAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
600 PARK ST, FORT HAYS STATE UNIVERSITY, HAYS, KS 67601-4009
(785) 628-5823
(785) 628-4383
Mailing address
2317 DONALD DR, HAYS, KS 67601-2307
(785) 650-4647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24-00058
KS
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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