Healthcare Provider Details
I. General information
NPI: 1457515041
Provider Name (Legal Business Name): JAMES N WARREN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2008
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 SW ATWOOD AVE STE C
TOPEKA KS
66614-2856
US
IV. Provider business mailing address
2900 SW ATWOOD AVE STE C
TOPEKA KS
66614-2856
US
V. Phone/Fax
- Phone: 785-228-3534
- Fax: 783-272-3007
- Phone: 785-228-3534
- Fax: 783-272-3007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
NATHANIEL
WARREN
Title or Position: OWNER
Credential: MD
Phone: 785-228-3534