Individual
DAN A FRANCISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 S CLIFTON AVE, STE 150, WICHITA, KS 67218-2957
(316) 616-3333
(316) 616-0974
Mailing address
PO BOX 47821, WICHITA, KS 67201-7821
(316) 616-3333
(316) 616-0974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0419069
KS
207RC0000X
Cardiovascular Disease Physician
Primary
0419069
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112630A
—
KS
01
—
1194721951
ORGANIZATIONAL NPI
KS
01
—
17D1048839
CLIA
—
Enumeration date
06/24/2005
Last updated
05/11/2012
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