NPI 1386613107
Surgical Specialists PA
Practice location
- Address
- 4013 N Ridge Rd STE 210, Wichita, KS 67205-8860
- Phone
- (316) 945-7309
- Fax
- (316) 945-9131
- Mailing address
- PO Box 905, Wichita, KS 67201-0905
Authorised official
- Name
- John P Smith
- Title
- Managing Partner
- Phone
- (316) 945-7309
Registered specialties
Surgery Physician
Primary
Registry record
- NPI
- 1386613107
- Entity type
- Organization
- NPI issued
- 15 Mar 2006
- Record last updated
- 19 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.