Individual
JOHN C ROBICHAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9211 E 21ST ST N, WICHITA, KS 67206-2968
(316) 609-4558
(316) 636-4076
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029922
BCBS
KS
01
—
12149398
MULTIPLAN
KS
01
—
16919
COVENTRY
KS
01
—
200146
HPK
KS
01
—
2206
PHS
KS
Enumeration date
06/28/2006
Last updated
07/13/2007
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