Organization
EAR NOSE & THROAT SURGICAL GROUP OF WICHITA PA
Active
Other names
ENT SURGICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L JAMES MD (OTOLARYNGOLOGIST)
(316) 945-5245
Entity
Organization
Contact information
Practice address
1301 N WEST ST, STE 1, WICHITA, KS 67203-1347
(316) 945-5245
(316) 945-5618
Mailing address
1301 N WEST ST, STE 1, WICHITA, KS 67203-1347
(316) 945-5245
(316) 945-5618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016607
MEDICARE PROVIDER NUMBER
KS
Enumeration date
06/12/2007
Last updated
03/25/2008
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