Organization
PEG BICKER MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEG BICKER MD (OWNER)
(316) 268-6075
Entity
Organization
Contact information
Practice address
1035 N EMPORIA ST, SUITE 220, WICHITA, KS 67214-2944
(316) 268-6075
(316) 291-7977
Mailing address
1035 N EMPORIA ST, SUITE 220, WICHITA, KS 67214-2944
(316) 268-6075
(316) 291-7977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-36042
KS
Other
Enumeration date
06/03/2013
Last updated
03/12/2014
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