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Individual

DR. JONATHAN DAVID SCRAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 S CLIFTON AVE, WICHITA, KS 67218-2900
(316) 636-1550
(316) 636-1569
Mailing address
1515 S CLIFTON AVE, WICHITA, KS 67218-2900
(316) 636-1550
(316) 636-1569

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-39512
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201157750A
KS
Enumeration date
03/20/2013
Last updated
01/15/2019
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