Healthcare Provider Details
I. General information
NPI: 1255925871
Provider Name (Legal Business Name): GALBRAITH SANCHEZ PODIATRY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2021
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
758 S HILLSIDE ST
WICHITA KS
67211-3020
US
IV. Provider business mailing address
758 S HILLSIDE ST
WICHITA KS
67211-3020
US
V. Phone/Fax
- Phone: 316-686-2106
- Fax: 316-686-5974
- Phone: 316-686-2106
- Fax: 316-686-5974
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
SANCHEZ
Title or Position: OWNER/PARTNER
Credential: DPM
Phone: 316-686-2106