EARL THOMAS WALTER

IOLA, KS
NPI1326003757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  05-16916)
Enumeration Date2006-04-19
Last Update Date2013-09-04
Business Address
EARL THOMAS WALTER DO
401 S WASHINGTON AVE
IOLA, KS 66749-3256
Phone number: 620-365-6933
Mailing Address
EARL THOMAS WALTER DO
PO BOX 764
WICHITA, KS 67201-0764
Phone number: 620-365-6933
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