Organization
MID-AMERICA DIABETES ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A GUTHRIE M.D. (PRESIDENT, PHYSICIAN)
(316) 644-0908
Entity
Organization
Contact information
Practice address
8533 E 32ND ST N, WICHITA, KS 67226
(316) 687-3100
(316) 687-0286
Mailing address
22015 W 101ST ST N, MOUNT HOPE, KS 67108-9710
(316) 644-0908
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-15254
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213320A
—
KS
01
—
CU0422
RAILROAD MEDICARE
KS
Enumeration date
10/26/2006
Last updated
05/17/2018
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