Western Roots Medical Clinic Llc | |
123 E 2nd St Grainfield KS 67737-3505 | |
(405) 301-2708 | |
Not Available |
Full Name | Western Roots Medical Clinic Llc |
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Speciality | Family Medicine |
Location | 123 E 2nd St, Grainfield, Kansas |
Authorized Official Name and Position | Brooke Rachelle Briggs (SOLE MEMBER) |
Authorized Official Contact | 4053012708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Western Roots Medical Clinic Llc Po Box 21 Grainfield KS 67737-0021 Ph: (405) 301-2708 | Western Roots Medical Clinic Llc 123 E 2nd St Grainfield KS 67737-3505 Ph: (405) 301-2708 |
NPI Number | 1770345910 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 01/24/2024 |
Identifier | Type | State | Issuer |
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1770345910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |