Organization
G ALLEN FITZNER DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN ALLEN FITZNER D.C. (PRESIDENT)
(316) 943-3208
Entity
Organization
Contact information
Practice address
5717 E CENTRAL AVE, WICHITA, KS 67208-4202
(316) 943-3208
Mailing address
5717 E CENTRAL AVE, WICHITA, KS 67208-4202
(316) 943-3208
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
003191
KS
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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