Healthcare Provider Details

I. General information

NPI: 1447225727
Provider Name (Legal Business Name): ASSOCIATES IN MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 SAINT MARYS RD
JUNCTION CITY KS
66441-4158
US

IV. Provider business mailing address

1106 SAINT MARYS RD
JUNCTION CITY KS
66441-4158
US

V. Phone/Fax

Practice location:
  • Phone: 785-762-4884
  • Fax: 785-762-3197
Mailing address:
  • Phone: 785-762-4884
  • Fax: 785-762-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-16144
License Number StateKS

VIII. Authorized Official

Name: DR. RONALD D MACE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 785-762-4884