Individual
DR. HEWITT C GOODPASTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Mailing address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0414438
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205190A
—
KS
05
—
100205190D
—
KS
Enumeration date
06/17/2005
Last updated
02/10/2014
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