Individual
DR. JON C ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 N EMPORIA ST, WICHITA, KS 67214-3709
(316) 268-5927
(316) 291-7940
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
04-32313
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106287
MEDICARE
—
05
—
200423250A
—
KS
Enumeration date
06/15/2005
Last updated
03/02/2017
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