| Peg Bicker Md, Llc | |
|
1035 N Emporia St Suite 220 Wichita KS 67214-2944 | |
| (316) 268-6075 | |
| (316) 291-7977 |
| Full Name | Peg Bicker Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 N Emporia St, Wichita, Kansas |
| Authorized Official Name and Position | Peg Bicker (OWNER) |
| Authorized Official Contact | 3162686075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peg Bicker Md, Llc 1035 N Emporia St Suite 220 Wichita KS 67214-2944 Ph: (316) 268-6075 | Peg Bicker Md, Llc 1035 N Emporia St Suite 220 Wichita KS 67214-2944 Ph: (316) 268-6075 |
| NPI Number | 1952748774 |
|---|---|
| Provider Enumeration Date | 06/03/2013 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952748774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 04-36042 (Kansas) | Primary |
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