Basic Information
| Provider Information | |||||||||
| NPI: | 1700180403 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE FAMILY PHYSICIANS PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1408 EAST ST | ||||||||
| Address2: | |||||||||
| City: | IOLA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667494402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6204733666 | ||||||||
| FaxNumber: | 6203657717 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 S 9TH | ||||||||
| Address2: | |||||||||
| City: | HUMBOLDT | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667481809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6203653115 | ||||||||
| FaxNumber: | 6203657717 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2011 | ||||||||
| LastUpdateDate: | 02/25/2011 | ||||||||
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| AuthorizedOfficialLastName: | SINGER | ||||||||
| AuthorizedOfficialFirstName: | GLEN | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6203653115 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.