Individual
MRS. TANA L GOERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Mailing address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-27033
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100304400B
—
KS
Enumeration date
04/05/2006
Last updated
10/15/2013
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