Individual
MR. SEAN GREGORY DI PAOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
(316) 962-2668
Mailing address
PO BOX 5607, DENVER, CO 80217-5607
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
KS
Other
Enumeration date
07/04/2017
Last updated
10/18/2017
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