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Organization

PREFERRED MEDICAL ASSOCIATES

Active
Parent organization
PREFERRED MEDICAL ASSOCIATES
Other names
VCMA PEDS GASTRO
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREFERRED MEDICAL ASSOCIATES
Authorized official
DR. EDWARD J HETT MD (PRESIDENT)
(316) 268-8080
Entity
Organization

Contact information

Practice address
848 N SAINT FRANCIS ST, STE 3949, WICHITA, KS 67214-3800
(316) 268-8040
(316) 291-4880
Mailing address
PO BOX 764, WICHITA, KS 67201-0764
(316) 268-8040
(316) 291-4880

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100003230Y
KS
Enumeration date
12/14/2007
Last updated
07/14/2010
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