Organization
MID-CONTINENT ANESTHESIOLOGY CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY GEORGE M.D. (PRESIDENT/PHYSICIAN)
(316) 789-8444
Entity
Organization
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 789-8444
(316) 652-0340
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6112
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004066
BCBS OF KANSAS
KS
05
—
100213090A
—
KS
05
—
100722910A
—
OK
01
—
CE7677
RAILROAD MEDICARE
KS
Enumeration date
12/07/2005
Last updated
05/12/2023
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