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Individual

ELISHA J BRUMFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1010 N. KANSAS, WICHITA, KS 67214-3199
(316) 293-2650
(316) 293-1882
Mailing address
1010 N. KANSAS, SUITE # 3049, WICHITA, KS 67214-3199
(316) 293-2650
(316) 293-1882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-30993
KS
208M00000X
Hospitalist Physician
0530993
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-30993
LICENSE
KS
Enumeration date
08/03/2006
Last updated
01/09/2017
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