Individual
DR. ANTHONY TOUFIK REZCALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 N EMPORIA, SUITE 200, WICHITA, KS 67214
(316) 263-0296
(316) 263-9523
Mailing address
818 N EMPORIA, SUITE 200, WICHITA, KS 67214
(316) 263-0296
(316) 263-9523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-34033
KS
208600000X
Surgery Physician
TEMP 103081
MN
2086S0102X
Surgical Critical Care Physician
TEMP 103081
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200632990A
—
KS
Enumeration date
07/12/2007
Last updated
11/30/2010
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