Individual
BROOKE IARUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
11719 E GEMSTONE LN APT 31, WICHITA, KS 67226-4650
(774) 217-9233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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