Organization
RIORDAN CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD E HUNNINGHAKE MD (CHIEF MEDICAL OFFICER/BOARD MEMBER)
(316) 682-3100
Entity
Organization
Contact information
Practice address
3100 N HILLSIDE AVE, WICHITA, KS 67219-3904
(316) 682-3100
(316) 618-8537
Mailing address
3100 N HILLSIDE AVE, WICHITA, KS 67219-3904
(316) 682-3100
(316) 618-8537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104594
KS
207Q00000X
Family Medicine Physician
Primary
0417711
KS
207Q00000X
Family Medicine Physician
0430080
KS
2085R0001X
Radiation Oncology Physician
0432003
KS
Other
Enumeration date
08/22/2006
Last updated
01/12/2011
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