Individual
DR. JOHN J WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 685-1111
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0429421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100459040A
—
KS
05
—
100459040B
—
KS
01
—
102921
BCBS
KS
01
—
105290
BCBS
KS
Enumeration date
06/22/2006
Last updated
09/14/2009
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