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Organization

WOMANS PLACE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY STOVER (BUSINESS OFFICE COORDINATOR)
(620) 259-4430
Entity
Organization

Contact information

Practice address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 662-2229
(620) 669-2394
Mailing address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 662-2229
(620) 669-2394

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110471
BCBS PROVIDER NO.
KS
01
17D0960163
CLIA
KS
05
30003936430001
KS
Enumeration date
07/27/2006
Last updated
09/05/2023
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