Altamirano, Leo

Altamirano, Leo is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Altamirano, Leo can be contacted via phone (620) 275-3700.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846
Phone: (620) 275-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-34459 Kansas

Profile Details

NPI number 1184677403
LBN Legal business name Altamirano, Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184677403 NPPES
Kansas MEDICAID 200657740A
Kansas Other 04-34459

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