Basic Information
| Provider Information | |||||||||
| NPI: | 1528280328 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOFTELAND | ||||||||
| FirstName: | NATHAN | ||||||||
| MiddleName: | DOUGLAS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1358 | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672011358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162933429 | ||||||||
| FaxNumber: | 8554953229 | ||||||||
| Practice Location | |||||||||
| Address1: | 8533 E 32ND ST N | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672262611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162933455 | ||||||||
| FaxNumber: | 8555179494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 06/08/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 04-32659 | KS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 04-32659 | KS | N | Allopathic & Osteopathic Physicians | Pediatrics | 207RG0100X | 04-32659 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.