Organization
ADVANCED PAIN MEDICINE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C PARKS M.D (PRESIDENT)
(316) 942-4519
Entity
Organization
Contact information
Practice address
3715 N OLIVER, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER, WICHITA, KS 67220-3404
(316) 942-4519
(316) 942-4655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
KS
Other
Enumeration date
12/06/2011
Last updated
11/11/2022
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