Organization
WICHITA PAIN RELIEF CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL ALVAREZ (MEMBER)
(316) 768-4918
Entity
Organization
Contact information
Practice address
766 PLANTATION ST, MAIZE, KS 67101-9587
(316) 768-4918
Mailing address
PO BOX 38, MAIZE, KS 67101-0038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
014892
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660127
BCBSKS
KS
Enumeration date
04/10/2007
Last updated
08/22/2020
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