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Organization
MONTOYA FAMILY PRACTICE, PA
Active
Organization
MONTOYA FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA MONTOYA M.D. (OWNER)
(316) 618-0035
Entity
Organization
Contact information
Practice address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(316) 618-0035
(316) 618-0010
Mailing address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(316) 618-0035
(316) 618-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429228
KS
363A00000X
Physician Assistant
15-00731
KS
363LF0000X
Family Nurse Practitioner
45218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103702
MEDICARE PTAN
KS
01
—
111291
BCBS
KS
05
—
200622560A
—
KS
Enumeration date
12/11/2006
Last updated
02/03/2023
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