Individual
ELDON K SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1947 FOUNDERS ST, WICHITA, KS 67206-3548
(316) 689-9227
(316) 858-2025
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25465
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040842
BCBS
KS
01
—
12149428
MULTIPLAN
KS
01
—
16944
COVENTRY
KS
01
—
200647
HPK
KS
01
—
4474
PHS
KS
Enumeration date
06/18/2006
Last updated
07/13/2007
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