Organization
PINNACLE SPORTS MEDICINE & ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON J. FUNK (CEO)
(620) 663-4800
Entity
Organization
Contact information
Practice address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 662-6000
(620) 669-2394
Mailing address
800 MEDICAL CENTER DR, STE. 240, NEWTON, KS 67114-7808
(316) 283-9977
(316) 283-0966
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644510A
—
KS
01
—
110633
BCBS
KS
01
—
4705300001
DMERC
KS
Enumeration date
10/29/2009
Last updated
04/22/2010
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