Healthcare Provider Details

I. General information

NPI: 1922284108
Provider Name (Legal Business Name): ASSOCIATES IN WOMENS HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 E MURDOCK
WICHITA KS
67208-3003
US

IV. Provider business mailing address

3232 E MURDOCK
WICHITA KS
67208-3003
US

V. Phone/Fax

Practice location:
  • Phone: 316-219-6754
  • Fax: 316-239-2808
Mailing address:
  • Phone: 316-219-6754
  • Fax: 316-239-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JO MARSH
Title or Position: CEO
Credential:
Phone: 316-219-6764