Organization
PREMIER PHLEBOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CHEATUM (PRESIDENT)
(316) 617-5891
Entity
Organization
Contact information
Practice address
2350 N GREENWICH RD, WICHITA, KS 67226-8269
(316) 617-5891
Mailing address
PO BOX 47055, WICHITA, KS 67201-7055
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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