Dr. ANCHANA MARIE DOMINIC MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1275027278- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 500 STATE HOSPITAL DR, OSAWATOMIE, KS, 660641813
- Phone
- (913) 755-7019
- Fax
- (913) 755-7127
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: KS #0450197
Psychiatry & Neurology, Psychiatry
License: NJ #25IA12604300
Psychiatry & Neurology, Psychiatry
License: MO #2018021804