Tallgrass Open Mri, L.l.c.

NPI #1659468718 in Wichita, Kansas

Provider Information

NPI Number
1659468718
Entity Type
Organization
Organization Name
Tallgrass Open Mri, L.l.c.
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Oct 9, 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 - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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