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John Line, PA-C
NPI 1982697553 · on the registry since 2005
Practice
- Address
- 444 Four States Dr Ste 1
Galena, KS 66739 - Phone
- (620) 783-4441
- Organisation at this address
- Stateline Surgery Center, Llc
Diva Intra-Operative Monitoring Llc
Orthopaedic Specialists Of The Four States LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 4140 Se Adams Rd, Bartlesville, OK
- 8803 S 101st East Ave Ste 100, Tulsa, OK
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Physician Assistant - Licence states on file
- OK, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas