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Organization

PEARL OBGYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMEN HERSHBERGER MD (OWNER)
(316) 687-3275
Entity
Organization

Contact information

Practice address
3252 E DOUGLAS AVE STE 101, WICHITA, KS 67208-3354
(316) 687-3275
(316) 469-5222
Mailing address
3252 E DOUGLAS AVE STE 101, WICHITA, KS 67208-3354
(316) 687-3275
(316) 469-5222

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KS
Enumeration date
06/14/2021
Last updated
05/27/2025
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