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NPI Code Detail

MEDICARE: PHILLIP D CHALLANS M.D.

MEDICARE:   PHILLIP D CHALLANS  M.D.
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician04-30233KS
2208000000XPediatrics Physician04-30233KS

General Provider Information

NPI Number : 1790780831
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP D CHALLANS M.D.
Provider Business Mailing Address
First Line : 2600 N WOODLAWN BLVD
Second Line :
City : WICHITA
State : KS
Zip : 67220-2729
Country : US
Telephone Number : 316-684-3838
Fax Number : 316-858-2530
Provider Business Practice Location Address
First Line : 2535 E LINCOLN ST
Second Line :
City : WICHITA
State : KS
Zip : 67211-3821
Country : US
Telephone Number : 316-687-9794
Fax Number : 316-689-6957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 11/28/2017

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Directions to “ PHILLIP D CHALLANS M.D.” Practice Location

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