| NPI | 1497126585 |
|---|---|
| Doing Business As | MED-PED CLINIC OF WICHITA |
| Entity Type | Organization |
| Authorized Contact | MANSOOR TAHIR Administrator 316-440-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |