Individual
ELIAS O BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARRT
Contact information
Practice address
6505 E CENTRAL AVE STE 208, WICHITA, KS 67206-1924
(316) 619-4507
Mailing address
6505 E CENTRAL AVE STE 208, WICHITA, KS 67206-1924
(316) 619-4507
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22-03280
KS
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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