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Organization
POGGI PLASTIC SURGERY, PA
Active
Organization
POGGI PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T POGGI III M.D. (OWNER/PHYSICIAN)
(316) 269-3223
Entity
Organization
Contact information
Practice address
3510 N. RIDGE ROAD, SUITE 100, WICHITA, KS 67205-1210
(316) 269-3223
(316) 269-3328
Mailing address
3510 N. RIDGE ROAD, SUITE 100, WICHITA, KS 67205-1210
(316) 269-3223
(316) 269-3328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04-29591
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
04-29591
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100422880A
—
KS
01
—
102156
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
05/01/2006
Last updated
02/04/2015
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