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Mark Agpoon, CRNA

Nurse Anesthetist, Certified Registered in Wichita, KS. Individual provider (NPI-1).

NPI number1023098548
StatusActive
Last updated in NPPESAug 24, 2009

Details

NPI
1023098548
Entity type
Individual (NPI-1)
Name
Mark Agpoon
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2006
Last updated
Aug 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered55429KSYes

Practice location

3314 N 124th St W
Wichita, KS 67223-6909

Phone 316-722-8049 · Fax 316-722-8049

Mailing address

3314 N 124th St W
Wichita, KS 67223-6909

Phone 316-722-8049 · Fax 316-722-8049

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