Organization
WICHITA INFECTIOUS DISEASE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DENNE (MANAGER)
(316) 269-5000
Entity
Organization
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5050
Mailing address
155 N MARKET ST, SUITE 950, WICHITA, KS 67202-1816
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016887
BCBS
KS
Enumeration date
06/21/2006
Last updated
08/09/2007
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