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NPI Code Detail

MEDICARE: DR. ANGELA M GATZ MD

MEDICARE: DR. ANGELA M GATZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianR-8683IA
2208000000XPediatrics Physician04-35780KS

General Provider Information

NPI Number : 1033345947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA M GATZ MD
Provider Business Mailing Address
First Line : PO BOX 725
Second Line :
City : NEWTON
State : KS
Zip : 67114-0725
Country : US
Telephone Number : 316-283-7100
Fax Number : 316-283-7118
Provider Business Practice Location Address
First Line : 700 MEDICAL CENTER DR
Second Line : STE 150
City : NEWTON
State : KS
Zip : 67114-9015
Country : US
Telephone Number : 316-283-7100
Fax Number : 316-283-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 04/19/2013

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Directions to “ DR. ANGELA M GATZ MD” Practice Location

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