| Mijares Reinaldo | |
|
105 S Broadway St Suite 730 Wichita KS 67202-4227 | |
| (316) 393-9933 | |
| Not Available |
| Full Name | Mijares Reinaldo |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 S Broadway St, Wichita, Kansas |
| Authorized Official Name and Position | Reinaldo Ernesto Mijares (PRESIDENT) |
| Authorized Official Contact | 3163939933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mijares Reinaldo 105 S Broadway St Suite 730 Wichita KS 67202-4227 Ph: (316) 393-9933 | Mijares Reinaldo 105 S Broadway St Suite 730 Wichita KS 67202-4227 Ph: (316) 393-9933 |
| NPI Number | 1932218880 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932218880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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