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Organization
CRITICAL CARE CONSULTANTS OF WCIHITA LLC
Active
Organization
CRITICAL CARE CONSULTANTS OF WCIHITA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JOHNSON MD (OWNER)
(316) 641-7549
Entity
Organization
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 641-7549
Mailing address
9313 E 34TH ST N STE 100, WICHITA, KS 67226-2638
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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