Provider Demographics
NPI:1962495770
Name:PEASE, FRANCIS B (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:B
Last Name:PEASE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:602 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-2730
Mailing Address - Country:US
Mailing Address - Phone:785-242-1103
Mailing Address - Fax:785-242-8758
Practice Address - Street 1:602 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-2730
Practice Address - Country:US
Practice Address - Phone:785-242-1103
Practice Address - Fax:785-242-8758
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25367208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS103883Medicare PIN
KSE48138Medicare UPIN