Individual provider · NPI-1

Manuel Alfonso, MD

Anesthesiology · Wichita, KS

NPI number1154433670
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154433670
Entity type
Individual (NPI-1)
Name
Manuel Alfonso
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology15093KSYes

Practice location

1947 N Founders St
Wichita, KS 67206-3548

Phone 316-613-4931 · Fax 316-613-4937

Mailing address

Po Box 8035
Wichita, KS 67208-0035

Phone 316-689-9135 · Fax 316-689-9102

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