Individual
DR. WILLY G PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6155 E HARRY ST, WICHITA, KS 67218-3827
(316) 682-1754
Mailing address
6155 E HARRY ST, WICHITA, KS 67218-3827
(316) 682-1754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0415565
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057396
BCBS
KS
Enumeration date
07/17/2006
Last updated
09/15/2009
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