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NPI Code Detail

MEDICARE: JAMES DUDLEY WARNER M.D.

MEDICARE: JAMES DUDLEY WARNER M.D.
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 Physician49207-020WI
2207Q00000XFamily Medicine PhysicianKS 04-32933KS

General Provider Information

NPI Number : 1366468696
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DUDLEY WARNER M.D.
Provider Business Mailing Address
First Line : 8357 FREDERICK CT
Second Line :
City : DE SOTO
State : KS
Zip : 66018-7129
Country : US
Telephone Number : 913-585-9935
Fax Number : 785-832-4887
Provider Business Practice Location Address
First Line : 2415 MASSACHUSETTS ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-4827
Country : US
Telephone Number : 785-832-4842
Fax Number : 785-832-4887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 10/18/2011

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Directions to “ JAMES DUDLEY WARNER M.D.” Practice Location

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