Individual
SAMUEL BRUCE AITCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
700 W CENTRAL AVE STE 206, EL DORADO, KS 67042-2186
(316) 452-5113
(316) 452-5694
Mailing address
700 W CENTRAL AVE, EL DORADO, KS 67042-2184
(316) 452-5113
(316) 452-5694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
K15-02254
KS
Other
Enumeration date
05/30/2019
Last updated
01/13/2021
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