Provider First Line Business Practice Location Address:
3730 N RIDGE RD STE 200
Provider Second Line Business Practice Location Address:
KANSAS ENDOVASCULAR MEDICINE ASSOCIATES
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67205-1228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-462-1070
Provider Business Practice Location Address Fax Number:
316-462-1078
Provider Enumeration Date:
03/29/2007