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JAMES I FAST DO

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1306825880
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
420 W 15TH AVE, EMPORIA, KS, 66801
Phone
(620) 342-4864
Fax
(620) 343-3545

Specialties & Taxonomies

Family Medicine Primary License: KS #05-23841

All Addresses

LOCATION

420 W 15TH AVE

EMPORIA, KS, 66801

(620) 342-4864

MAILING

420 W 15TH AVE

EMPORIA, KS, 668015367

(620) 342-4864