Organization
COSMETIC & RECONSTRUCTIVE SURGERY CENTER, PA
Active
Other names
COSMETIC & RECONSTRUCTIVE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HARRIS CONRAD M.D. (PHYSICIAN)
(316) 681-2227
Entity
Organization
Contact information
Practice address
1700 N WATERFRONT PKWY, BUILDING 200, WICHITA, KS 67206-6614
(316) 681-2227
(316) 684-5250
Mailing address
1700 N WATERFRONT PKWY, BUILDING 200, WICHITA, KS 67206-6614
(316) 681-2227
(316) 684-5250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0429556
KS
Other
Enumeration date
05/25/2006
Last updated
12/11/2014
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