Tallgrass Imaging Associates, L.l.c.

NPI #1124103379 in Wichita, Kansas

Provider Information

NPI Number
1124103379
Entity Type
Organization
Organization Name
Tallgrass Imaging Associates, L.l.c.
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Oct 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
7111 E 21ST ST N
Address 2
SUITE B
State
Kansas
ZIP Code
67206-1078
Phone
(316) 925-4624

Authorized Official

Name
RANDY WAYNE WICKERSHAM
Title
VP OF OPERATIONS
Phone
(405) 418-2200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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