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COTTON-O'NEIL CLINIC REVOCABLE TRUST

Allergy and Immunology

Topeka, Kansas

Provider NPI: 1811944457

Organization Information:
Organization Name:  COTTON-O'NEIL CLINIC REVOCABLE TRUST


Practice Location:
901 SW GARFIELD AVE  TOPEKA, KS 66606 US
Tel: 785-354-9591  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207W00000XPhysicians
Ophthalmology
N207K00000XPhysicians
Allergy & Immunology
N207N00000XPhysicians
Dermatology
N207Q00000XPhysicians
Family Medicine
N207RC0000XPhysicians
Internal Medicine
N207RE0101XPhysicians
Internal Medicine
N207RG0100XPhysicians
Internal Medicine
N207RH0003XPhysicians
Internal Medicine
N207RI0200XPhysicians
Internal Medicine
N207RN0300XPhysicians
Internal Medicine
N207RP1001XPhysicians
Internal Medicine
N207RR0500XPhysicians
Internal Medicine
N207RX0202XPhysicians
Internal Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
003699900FL05
100217350AKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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