Organization
MID-KANSAS DERMATOLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M PASSMAN M.D. (PRESIDENT)
(316) 612-1833
Entity
Organization
Contact information
Practice address
1861 N ROCK RD, SUITE 310, WICHITA, KS 67206-4200
(316) 612-1833
(316) 612-2420
Mailing address
1861 N ROCK RD, SUITE 310, WICHITA, KS 67206-4200
(316) 612-1833
(316) 612-2420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-20338
KS
Other
Enumeration date
05/15/2006
Last updated
03/12/2008
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