Organization
WICHITA OPHTHALMOLOGY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM N COHLMIA M.D. (OWNER)
(316) 264-8932
Entity
Organization
Contact information
Practice address
9449 E 21ST ST N, WICHITA, KS 67206-2969
(316) 264-8932
(316) 264-1257
Mailing address
9449 E 21ST ST N, WICHITA, KS 67206-2969
(316) 264-8932
(316) 264-1257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0427225
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100292290B
—
KS
Enumeration date
01/24/2012
Last updated
01/24/2012
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