Organization
NEWMAN UNIVERSITY
Active
Other names
Newman University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CAM CLARK (ATHLETIC DIRECTOR)
(316) 942-4291
Entity
Organization
Contact information
Practice address
3100 MCCORMICK ST, WICHITA, KS 67213-2008
(316) 942-4291
Mailing address
3100 W MCCORMICK AVE, WICHITA, KS 67213-2008
(316) 942-4291
(316) 942-4483
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/30/2011
Last updated
01/27/2021
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