Pro Physicians Clinic PA
Organization Active NPI Radiation Oncology Physician · Wichita, KS
NPI 1831501642 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1831501642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 0426447 (KS)
- Legal business name
- PRO PHYSICIANS CLINIC PA
- Practice address
- 2077 N Webb Rd
Wichita, KS 67206-3411 - Phone
- (316) 869-2280
- Fax
- (512) 583-2001
- NPI assigned
- May 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Jon D Jon Tryggestad
- Title
- Ceo
- Phone
- (972) 573-4611
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | 0426447 | KS | Yes |
Addresses
Primary practice location
2077 N Webb Rd
Wichita, KS 67206-3411
Mailing address
PO Box 678234
Dallas, TX 75267-8234
Phone (316) 869-2280
Other providers in Wichita, KS
- Andrea Primm
- Rebecca Webster Pringle
- Priscilla C Nelson
- Grant Pritz
- Private Healthcare Facilities
- Proactive Associates, LLC
- Proactive Home Care, LLC
- Stephanie Proctor
- Professional Endodontics
- Professional Research Network of Kansas, LLC
All providers in Wichita, KS · Radiation Oncology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.