Organization
PERFORMANCE HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JAMES SEBERGER M.D. (PRESIDENT)
(316) 260-9005
Entity
Organization
Contact information
Practice address
10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
(316) 260-9005
(316) 260-9019
Mailing address
4342 N RUSHWOOD CIR, WICHITA, KS 67226-1488
(316) 706-2496
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0431068
KS
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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