Individual
DR. DWIGHT ST CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1148 SOUTH HILLSIDE, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Mailing address
1148 SOUTH HILLSIDE, SUITE 104, WICHITA, KS 67211-4005
(316) 687-0006
(316) 687-0328
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0524105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047687
BLUE CROSS BLUE SHIELD
KS
05
—
100232310B
—
KS
01
—
260026318
RR MEDICARE
KS
Enumeration date
07/14/2006
Last updated
10/17/2011
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