Basic Information
Provider Information
NPI: 1447222526
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAPP
FirstName: SANDOR
MiddleName: DEAN
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 217B N BROADWAY ST
Address2:  
City: PITTSBURG
State: KS
PostalCode: 667624805
CountryCode: US
TelephoneNumber: 6202317650
FaxNumber: 6202316212
Practice Location
Address1: 302 N HOSPITAL DR
Address2:  
City: GIRARD
State: KS
PostalCode: 667432000
CountryCode: US
TelephoneNumber: 6207248291
FaxNumber: 6207246332
Other Information
ProviderEnumerationDate: 02/03/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X04-18645KSY Other Service ProvidersSpecialist 

No ID Information.


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