Individual
GREGORY R BOXBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2521
Mailing address
2600 N WOODLAWN BLVD, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2521
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-20682
KS
207RI0011X
Interventional Cardiology Physician
04-20682
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136840D
—
KS
Enumeration date
01/06/2006
Last updated
01/13/2022
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