Organization
DWIGHT ST CLAIR DO PA
Active
Organization
DWIGHT ST CLAIR DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT S ST CLAIR D.O. (BOARD CERTIFIED PSYCHIATRIST)
(316) 687-0006
Entity
Organization
Contact information
Practice address
1148 S HILLSIDE ST, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Mailing address
1148 S HILLSIDE ST, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05-24105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232310B
—
KS
Enumeration date
04/25/2012
Last updated
04/25/2012
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