Premier Pet Imaging of Wichita INC

NPI #1417912221 in Wichita, Kansas

Provider Information

NPI Number
1417912221
Entity Type
Organization
Organization Name
Premier Pet Imaging of Wichita INC
Primary Specialty
Clinic/Center
Enumeration Date
Apr 18, 2006
Last Updated
Oct 2, 2007

Practice Location

Address
500 S MAIN ST
Address 2
SUITE B
State
Kansas
ZIP Code
67202-3722
Phone
(316) 263-4738

Authorized Official

Name
MR. GEORGE MAHONEY
Title
CHIEF FINANCIAL OFFICER
Phone
(561) 447-0046

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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