Organization
ADVANCED PODIATRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHI H. VAN D.P.M. (PRESIDENT)
(316) 630-8478
Entity
Organization
Contact information
Practice address
310 N HILLSIDE ST, WICHITA, KS 67214-4906
(316) 630-8478
Mailing address
310 N HILLSIDE ST, WICHITA, KS 67214-4906
(316) 630-8478
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
12-00347
KS
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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