Organization
PREFERRED MEDICAL ASSOCIATES
Active
Other names
VCMA Maternal Fetal
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM WILLIAMS (OFFICE MANAGER)
(316) 269-1785
Entity
Organization
Contact information
Practice address
1515 S CLIFTON AVE, STE. 130, WICHITA, KS 67218-2900
(316) 689-5990
(316) 689-5999
Mailing address
1515 S CLIFTON AVE, STE. 130, WICHITA, KS 67218-2900
(316) 689-5990
(316) 689-5999
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
04-31473
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
06/02/2011
Last updated
06/02/2011
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