Organization
CHANUTE RADIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D WITZACZACK DO (PRESIDENT)
(316) 321-5900
Entity
Organization
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(316) 321-5900
(316) 321-4763
Mailing address
PO BOX 662, CHANUTE, KS 66720-0662
(316) 321-5900
(316) 321-4763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05-20132
KS
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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