Organization
GREAT PLAINS DIABETES RESEARCH, INC
Active
Other names
Great Plains Diabetes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA PEDIGO (OFFICE MANAGER)
(316) 440-2802
Entity
Organization
Contact information
Practice address
834 N SOCORA ST, SUITE 4, WICHITA, KS 67212
(316) 440-2802
(316) 440-2809
Mailing address
834 N SOCORA ST, SUITE 4, WICHITA, KS 67212-3279
(316) 440-2802
(316) 440-2809
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
74249
KS
Other
Enumeration date
08/05/2014
Last updated
05/17/2018
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