Organization
WICHITA PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD H ECK (AUTHORIZED OFFICIAL)
(316) 722-4776
Entity
Organization
Contact information
Practice address
2260 N RIDGE RD, ST. 100, WICHITA, KS 67205-1132
(316) 722-4776
(316) 722-4082
Mailing address
2260 N RIDGE RD, ST. 100, WICHITA, KS 67205-1132
(316) 722-4776
(316) 722-4082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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