| NPI | 1184256844 |
|---|---|
| Doing Business As | WICHITA DERMATOLOGY DBA MOELLER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DELIA J KISER Operations Manager 316-682-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-12-14 |