Most Relevant Information
Provider Data
| NPI Number: | 1003224932 |
| Provider Name: | MARCO KATADA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 76331 |
Most Important Dates
| Enumeration Date: | 07/23/2014 |
| Last Updated: | 07/23/2014 |
Provider Practice Location
1111 E SPRUCE ST
GARDEN CITY
KS
678465958
Practice Location Phone/Fax
| Phone: | 6202750644 |
| Fax: | 6202720239 |
Provider Mailing Location
PO BOX 531
GARDEN CITY
KS
678460531
Provider Mailing Phone/Fax
| Phone: | 6202750644 |
| Fax: | 6202720239 |