Individual
GIA NATSZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1032
(913) 206-5064
Mailing address
10510 N HAWTHORNE AVE, KANSAS CITY, MO 64157-8056
(913) 206-5064
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/21/2025
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