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Individual

MARK J SPRINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4511
(316) 651-2278
(316) 651-2314
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22746
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019825
BCBS
KS
01
100116
HPK
KS
05
100120010A
KS
01
1387
PHS
KS
01
16869
COVENTRY
KS
Enumeration date
06/28/2006
Last updated
02/07/2015
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