Organization
LA CAMBRA CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DOMBO (CEO)
(913) 424-7000
Entity
Organization
Contact information
Practice address
727 N WACO AVE, WICHITA, KS 67203-3951
(913) 424-7000
Mailing address
727 N WACO AVE, WICHITA, KS 67203-3951
(913) 424-7000
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
50401
KS
Other
Enumeration date
08/06/2012
Last updated
09/18/2012
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