Most Relevant Information
Provider Data
| NPI Number: | 1003807264 |
| Provider Name: | MARIE ELAINE MCENTEE PA C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 15 00816 |
Most Important Dates
| Enumeration Date: | 11/04/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
RR 2 BOX 38
211 EAST EARL ST
LEOTI
KS
678619504
Practice Location Phone/Fax
| Phone: | 6203752233 |
| Fax: | 6203752646 |
Provider Mailing Location
RR 2 BOX 38
211 EAST EARL ST
LEOTI
KS
678619504
Provider Mailing Phone/Fax
| Phone: | 6203752233 |
| Fax: | 6203752646 |