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Organization
ENDOSCOPIC SERVICES, P.A.
Active
Organization
ENDOSCOPIC SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACE WARD HYDER M.D. (CEO)
(316) 687-0234
Entity
Organization
Contact information
Practice address
1431 BLUFFVIEW ST STE 215, WICHITA, KS 67218-3039
(316) 687-0234
(316) 687-0360
Mailing address
1431 BLUFFVIEW ST STE 215, WICHITA, KS 67218-3039
(316) 687-0234
(316) 687-0360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S-087-008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015223
BCBS PROVIDER #
KS
05
—
100216580A
—
KS
Enumeration date
06/24/2006
Last updated
08/22/2011
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