Organization
THE CENTER FOR REPRODUCTIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L TJADEN D.O. (DIRECTOR)
(316) 687-2112
Entity
Organization
Contact information
Practice address
9300 E 29TH ST N, STE 102, WICHITA, KS 67226-2182
(316) 687-2112
(316) 687-1260
Mailing address
9300 E 29TH ST N, STE 102, WICHITA, KS 67226-2182
(316) 687-2112
(316) 687-1260
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020835
BC/BS KS
KS
Enumeration date
09/20/2006
Last updated
08/22/2020
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