| Performance Health, Pa | |
|
10111 E 21st St N Ste 315 Wichita KS 67206-3581 | |
| (316) 260-9005 | |
| (316) 260-9019 |
| Full Name | Performance Health, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10111 E 21st St N Ste 315, Wichita, Kansas |
| Authorized Official Name and Position | Peter James Seberger (PRESIDENT) |
| Authorized Official Contact | 3162609005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Health, Pa 4342 N Rushwood Cir Wichita KS 67226-1488 Ph: (316) 706-2496 | Performance Health, Pa 10111 E 21st St N Ste 315 Wichita KS 67206-3581 Ph: (316) 260-9005 |
| NPI Number | 1720445950 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720445950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0431068 (Kansas) | Primary |
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