Organization
CARDIOVASCULAR ANESTHESIA OF WICHITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM ASHCOM (MD)
(316) 685-6091
Entity
Organization
Contact information
Practice address
3601 N WEBB RD, WICHITA, KS 67226-8129
(316) 630-5000
Mailing address
PO BOX 1913, WICHITA, KS 67201-1913
(316) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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