Individual provider · Type 1 NPI
Richard W. Spann, MD
Primary Care Clinic/Center · Wichita, KS
NPI number
1609867779
Active
Practice location
3600 E Harry St
Wichita, KS 67218-3713
Fax (316) 689-5873
Mailing address
542N Longford Ln
Wichita, KS 67206-1816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 04-13573 (KS) |
| Health Service Clinic/Center | 261QH0100X | 04-13573 (KS) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1609867779
Richard W. Spann, MD's National Provider Identifier is 1609867779, issued on Oct 28, 2005. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Wichita, KS. The record was last updated on Dec 29, 2015.