Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 04-41634 | KS |
N | 2080P0202X | Pediatric Cardiologist | 2014006064 | MO |
NPI | 1003814856 |
---|---|
Provider Name | Dr. John Samuel Plowden JR. |
First Address | Topeka, KS 66604-1301 |
Second Address | Topeka, KS 66606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 18/01/2019 |