Doctor Name: | DR. RODNEY SYDNEY DILL |
NPI Number: | 1619914363 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 04-17767 |
Business Practice Address: | 707 Grant Atwood, KS - 677300005 |
Business Phone Number: | 7856263241 |
Business Fax Number: | 7856263188 |
Mailing Address: | 814 S 3rd St, ATWOOD |
State: | KS |
Postal Code: | 677302124 |
Phone Number: | 7856269434 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 04-17767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |