Organization
SURGICAL IMPLANT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BURKE (CEO)
(316) 832-0104
Entity
Organization
Contact information
Practice address
2021 N AMIDON AVE, SUITE 13, WICHITA, KS 67203-2100
(316) 832-0104
Mailing address
PO BOX 781838, WICHITA, KS 67278-1838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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