HILLSIDE MEDICAL OFFICE LLC NPI 1912969486

NPI Information

HILLSIDE MEDICAL OFFICE LLC is a family medicine in Wichita, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HILLSIDE MEDICAL OFFICE LLC NPI is 1912969486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

855 N HILLSIDE ST
WICHITA, KS
ZIP 67214-913
Phone: (316) 685-1381

The provider's authorized official is David A Gordon .
The authorized official title is Manager and has the following contact phone number (316) 685-1381.

The CLIA number assigned to this NPI record is 17D0451899 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 6/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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