Individual
DUSTIN ALLEN DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8506 E CENTRAL AVE, WICHITA, KS 67206-2448
(316) 634-0315
Mailing address
8506 E CENTRAL AVE, WICHITA, KS 67206-2448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01225
KS
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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