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Organization
MEDICAL ON DEMAND LLC
Active
Organization
MEDICAL ON DEMAND LLC
Active
Other names
Home ER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GOODEN MD (OWNER)
(316) 871-0995
Entity
Organization
Contact information
Practice address
10346 E STONEGATE LN STE 100, WICHITA, KS 67206-2054
(316) 871-0995
Mailing address
326 N WABASH AVE, WICHITA, KS 67214-3948
(316) 871-0995
(833) 903-3589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200556580D
—
KS
Enumeration date
01/18/2022
Last updated
03/18/2026
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