JASON ETHEREDGE

WICHITA, KS
NPI1053517573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  046821)
Enumeration Date2007-06-22
Last Update Date2008-03-18
Business Address
-- JASON ETHEREDGE MD, PhD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-268-5000
Mailing Address
-- JASON ETHEREDGE MD, PhD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: