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Organization

WICHITA AMBULATORY ANESTHESIA PROVIDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOUNIDA DOUANGPRASEUTH MD (PARTNERSHIP REPRESENTATIVE)
(316) 516-7361
Entity
Organization

Contact information

Practice address
818 N EMPORIA ST STE 108, WICHITA, KS 67214-3725
(316) 281-3700
Mailing address
330 W 2ND ST N UNIT 3358, WICHITA, KS 67201-0239
(316) 516-7361

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
09/24/2018
Last updated
12/20/2018
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