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Organization
PREFERRED MEDICAL ASSOCIATES
Active
Organization
PREFERRED MEDICAL ASSOCIATES
Active
Parent organization
PREFERRED MEDICAL ASSOCIATES
Other names
VCMA North Amidon
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREFERRED MEDICAL ASSOCIATES
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization
Contact information
Practice address
1900 N AMIDON AVE, STE 100, WICHITA, KS 67203-2140
(316) 832-9024
(316) 832-9478
Mailing address
PO BOX 764, WICHITA, KS 67201-0764
(316) 832-9024
(316) 832-9478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290210A
—
KS
Enumeration date
11/16/2007
Last updated
07/14/2010
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