Individual
ANDREW BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501649
KS
363AM0700X
Medical Physician Assistant
15-01649
KS
Other
Enumeration date
10/14/2013
Last updated
12/08/2021
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