Individual
JAMIE L MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2610 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 858-2610
Mailing address
2610 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 858-2610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0424952
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047290
BCBS
KS
01
—
050032916
RR MEDICARE GROUP CQ2307
KS
05
—
100154350C
—
KS
Enumeration date
04/13/2006
Last updated
05/08/2008
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