| Mercy Medical Clinic, Pa | |
|
3730 N Ridge Rd Suite 100 Wichita KS 67205-1227 | |
| (316) 462-6200 | |
| (316) 462-6201 |
| Full Name | Mercy Medical Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3730 N Ridge Rd, Wichita, Kansas |
| Authorized Official Name and Position | Susan M. Giovanni (PRESIDENT) |
| Authorized Official Contact | 3164626200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Clinic, Pa 3730 N Ridge Rd Suite 100 Wichita KS 67205-1227 Ph: (316) 462-6200 | Mercy Medical Clinic, Pa 3730 N Ridge Rd Suite 100 Wichita KS 67205-1227 Ph: (316) 462-6200 |
| NPI Number | 1841228459 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841228459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-25302 (Kansas) | Primary |
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