Organization
ADVANCED AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON PARKS MD (OWNER)
(316) 942-4519
Entity
Organization
Contact information
Practice address
4695 E 37TH ST N, WICHITA, KS 67220
(316) 942-4519
Mailing address
4695 E 37TH ST N, WICHITA, KS 67220-3208
(316) 260-5650
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
08/23/2023
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