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Individual

DR. CHRISTOPHER D CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
Mailing address
PO BOX 5607, DENVER, CO 80217-5607
(316) 962-2239
(316) 962-2668

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-37734
KS
207R00000X
Internal Medicine Physician
94-08460
KS
207R00000X
Internal Medicine Physician
R73377
AZ
208000000X
Pediatrics Physician
94-08460
KS
208000000X
Pediatrics Physician
R73377
AZ

Other

Enumeration date
06/01/2012
Last updated
04/25/2018
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