Tanglewood Family Medical Center PA

NPI #1659472306 in Derby, Kansas

Provider Information

NPI Number
1659472306
Entity Type
Organization
Organization Name
Tanglewood Family Medical Center PA
Primary Specialty
Family Medicine
Enumeration Date
Sep 26, 2006
Last Updated
Oct 21, 2008

Practice Location

Address
606 MULBERRY RD
City
Derby
State
Kansas
ZIP Code
67037-3532
Phone
(316) 788-3787

Authorized Official

Name
MRS. LORIANNE NIGHSWONGER
Title
OFFICE MANAGER
Phone
(316) 788-3787

Specialties & Taxonomy Codes

Specialty
Family Medicine

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