# THE PROSTATE TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417169889
- **Authorized official:** RODNEY HANDSFIELD M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (316) 269-5000

## Contact information

- **Practice address:** 1130 S CLIFTON AVE, WICHITA, KS 67218-2913
- **Practice address phone:** (316) 269-5000
- **Practice address fax:** (316) 269-0404
- **Mailing address:** 1130 S CLIFTON AVE, WICHITA, KS 67218-2913
- **Mailing address phone:** (316) 269-5000
- **Mailing address fax:** (316) 269-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0430440 | KS | Yes |

## Other

- **Enumeration date:** 05/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111124 | BCBS | KS |