Individual
DR. NEAL B SECRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2131 N RIDGE RD, WICHITA, KS 67212-1570
(316) 773-1212
(316) 440-6601
Mailing address
2131 N RIDGE RD, WICHITA, KS 67212-1570
(316) 773-1212
(316) 440-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0524232
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232540C
—
KS
01
—
103897
BCBS
KS
Enumeration date
05/11/2006
Last updated
04/29/2013
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