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Organization
WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization
WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA HALL PH.D (VICE PRESIDENT FOR STUDENT AFFAIRS)
(316) 978-3021
Entity
Organization
Contact information
Practice address
1845 FAIRMOUNT, WICHITA, KS 67260-0092
(316) 978-4792
(316) 978-3517
Mailing address
1845 FAIRMOUNT, WICHITA, KS 67260-0092
(316) 978-4792
(316) 978-3517
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
10/04/2021
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