Organization
ACCIDENT AND RECOVERY CLINIC
Active
Organization
ACCIDENT AND RECOVERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALY A GADALLA MD (OWNER)
(316) 686-0400
Entity
Organization
Contact information
Practice address
3810 W BOUNOUS ST, WICHITA, KS 67213-1203
(316) 686-0400
(316) 686-0448
Mailing address
3810 W BOUNOUS ST, WICHITA, KS 67213-1203
(316) 686-0400
(316) 686-0448
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
04-29832
KS
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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