Organization
RON J MAREK DO P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE MCCORMICK (CLINIC ADMINISTRATOR)
(316) 462-1050
Entity
Organization
Contact information
Practice address
1901 N MAIZE ROAD, WICHITA, KS 67212
(316) 462-1050
(316) 462-1053
Mailing address
1901 N MAIZE ROAD, WICHITA, KS 67212
(316) 462-1050
(316) 462-1053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25073
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395780A
—
KS
Enumeration date
04/14/2006
Last updated
11/22/2022
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