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Organization

WICHITA OPHTHALMOLOGY,PA

Active
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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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