STEPHANIE R FAWCETT

WICHITA, KS
NPI1407373848
Professional NameSTEPHANIE EWERTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1502040)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: KS  KS-1502040)
363A00000X Physician Assistant
Enumeration Date2017-08-26
Last Update Date2019-04-27
Business Address
STEPHANIE R FAWCETT
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-7190
Mailing Address
STEPHANIE R FAWCETT
PO BOX 5183
DENVER, CO 80217-5183
Phone number: 303-306-7783