Pma West | |
723 N Mclean Blvd Ste 330 Wichita KS 67203-4942 | |
(316) 946-5450 | |
(316) 946-5456 |
Full Name | Pma West |
---|---|
Speciality | Family Medicine |
Location | 723 N Mclean Blvd, Wichita, Kansas |
Authorized Official Name and Position | Edward J Hett (PRESIDENT) |
Authorized Official Contact | 3162688080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pma West Po Box 764 Wichita KS 67201-0764 Ph: (316) 946-5450 | Pma West 723 N Mclean Blvd Ste 330 Wichita KS 67203-4942 Ph: (316) 946-5450 |
NPI Number | 1669653705 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 11/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669653705 | NPI | - | NPPES |
100003230I | Medicaid | KS |
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