Organization
AXTELL EYE CENTER LLC
Active
Parent organization
AXTELL CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXTELL CLINIC PA
Authorized official
ALISHA MALO RN (ADMINISTRATOR)
(316) 283-2800
Entity
Organization
Contact information
Practice address
700 MEDICAL CENTER DR STE 210, NEWTON, KS 67114-9017
(316) 283-2800
(316) 283-3575
Mailing address
700 MEDICAL CENTER DR STE 210, NEWTON, KS 67114-9017
(316) 283-2800
(316) 283-3575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-21695
KS
Other
Enumeration date
10/23/2015
Last updated
01/14/2021
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