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NPI Code Detail

MEDICARE: ADAM S. PAONI D.O.

MEDICARE:   ADAM S. PAONI  D.O.
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
1207Q00000XFamily Medicine Physician05-24540KS

General Provider Information

NPI Number : 1134167588
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM S. PAONI D.O.
Provider Business Mailing Address
First Line : 302 N HOSPITAL DR
Second Line :
City : GIRARD
State : KS
Zip : 66743-2000
Country : US
Telephone Number : 620-724-5152
Fax Number : 620-724-6332
Provider Business Practice Location Address
First Line : 307 N HOSPITAL DR
Second Line : SUITE 5
City : GIRARD
State : KS
Zip : 66743-2014
Country : US
Telephone Number : 620-724-4659
Fax Number : 620-724-6955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/30/2013

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Directions to “ ADAM S. PAONI D.O.” Practice Location

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