Organization
DEGRADO, LTD
Active
Other names
R.J. DeGrado
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH JERRY DEGRADO D.C. (PRESIDENT OF CORP)
(316) 686-7558
Entity
Organization
Contact information
Practice address
1530 S OLIVER ST, SUITE 171, WICHITA, KS 67218-3240
(316) 686-7558
Mailing address
1530 S OLIVER ST, SUITE 171, WICHITA, KS 67218-3240
(316) 686-7558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103773
KS
Other
Enumeration date
06/11/2008
Last updated
07/25/2008
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