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NPI Code Detail

MEDICARE: WICHITA ECHOCARDIOGRAPHERS LLC

MEDICARE: WICHITA ECHOCARDIOGRAPHERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1194041608
Entity Type Code : Organization
Provider Name (Legal Business Name) : WICHITA ECHOCARDIOGRAPHERS LLC
Provider Business Mailing Address
First Line : 8080 E. CENTRAL
Second Line : SUITE 250
City : WICHITA
State : KS
Zip : 67206-2367
Country : US
Telephone Number : 316-686-7327
Fax Number : 316-686-1557
Provider Business Practice Location Address
First Line : 8080 E. CENTRAL
Second Line : SUITE 250
City : WICHITA
State : KS
Zip : 67206-2367
Country : US
Telephone Number : 316-686-7327
Fax Number : 316-686-1557
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES PATRICK MCCOY JR.
Credential : MD
Telephone Number : 316-686-7327
Provider Enumeration Date : 04/09/2010
Last Update Date : 02/28/2019

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Directions to “WICHITA ECHOCARDIOGRAPHERS LLC ” Practice Location

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