Organization
SOONER TRAUMA-CRITICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GREY VASQUEZ D.O. (OWNER)
(316) 962-3030
Entity
Organization
Contact information
Practice address
1400 N SANDPIPER ST, WICHITA, KS 67230-7175
(316) 962-3030
Mailing address
1400 N SANDPIPER ST, WICHITA, KS 67230-7175
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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