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Individual

THOMAS L ASHCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
9350 E 35TH ST N, STE 101, WICHITA, KS 67226-2019
(316) 265-1308
(316) 712-9286
Mailing address
9350 E 35TH ST N, STE 101, WICHITA, KS 67226-2019
(316) 265-1308
(316) 712-9286

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0424024
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060033115
RAILROAD MEDICARE
05
100142700A
KS
Enumeration date
04/07/2006
Last updated
10/19/2007
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