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Organization

WICHITA STATE UNIVERSITY STUDENT HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERESA HALL PH.D (VICE PRESIDENT FOR STUDENT AFFAIRS)
(316) 978-3021
Entity
Organization

Contact information

Practice address
1845 FAIRMOUNT, WICHITA, KS 67260-0092
(316) 978-4792
(316) 978-3517
Mailing address
1845 FAIRMOUNT, WICHITA, KS 67260-0092
(316) 978-4792
(316) 978-3517

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
07/02/2018
Last updated
10/04/2021
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