Organization
PREFERRED MEDICAL ASSOCIATES
Active
Other names
VCMA OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY D BETTIS (CREDENTIALING SPECIALIST)
(316) 268-5266
Entity
Organization
Contact information
Practice address
14700 W. ST. TERESA, STE. 370, WICHITA, KS 67235-9600
(316) 796-7990
(316) 796-7999
Mailing address
14700 W. ST. TERESA, STE. 370, WICHITA, KS 67235-9600
(316) 796-7990
(316) 796-7999
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087990E
—
KS
Enumeration date
05/04/2010
Last updated
02/24/2011
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