Organization
COMPREHENSIVE NEUROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WALLACE (ADMINISTRATOR)
(316) 609-2600
Entity
Organization
Contact information
Practice address
3223 N WEBB RD, SUITE 3, WICHITA, KS 67226-8175
(316) 609-3001
(316) 609-3050
Mailing address
3223 N WEBB RD, SUITE 3, WICHITA, KS 67226-8175
(316) 609-3001
(316) 609-3050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KS
Other
Enumeration date
07/27/2006
Last updated
07/21/2022
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