Individual
DR. RICHARD W SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
(316) 689-5873
Mailing address
542N LONGFORD LN, WICHITA, KS 67206-1816
(316) 634-2078
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
04-13573
KS
261QP2300X
Primary Care Clinic/Center
Primary
04-13573
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080790C
—
KS
Enumeration date
10/28/2005
Last updated
12/29/2015
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