Provider Demographics
NPI:1194831362
Name:PAPISH, DAVID IRA (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:IRA
Last Name:PAPISH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 E ROSS ST
Mailing Address - Street 2:PO BOX 308
Mailing Address - City:CLEARWATER
Mailing Address - State:KS
Mailing Address - Zip Code:67026-7824
Mailing Address - Country:US
Mailing Address - Phone:620-584-2055
Mailing Address - Fax:620-584-2032
Practice Address - Street 1:101 E ROSS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:KS
Practice Address - Zip Code:67026-7824
Practice Address - Country:US
Practice Address - Phone:620-584-2055
Practice Address - Fax:620-584-2032
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-18527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B91183Medicare UPIN
KS00650Medicare ID - Type Unspecified