Axtell Clinic PA

NPI #1699136358 in Newton, Kansas

Provider Information

NPI Number: 1699136358
Entity Type: Organization
Organization Name: Axtell Clinic PA
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 9, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 1715 MEDICAL PARKWAY
Address 2: SUITE 110B
City: Newton
State: Kansas
ZIP Code: 67114-9013
Phone: (316) 283-2800

Authorized Official

Name: MANDY L HINER
Title: ADMINISTRATOR
Phone: (316) 283-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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