Bassam I Mattar MD

NPI 1053372649 - Internal Medicine - 207RH0003X

NPI Details
NPI 1053372649
Gender Male
Enumeration Date 03/31/2006
Last Updated 09/29/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
818 N EMPORIA ST
SUITE 403
WICHITA KS, 67214-3729, US
Phone (316) 262-4467
Fax (316) 262-0706
Business Location
818 N EMPORIA ST
SUITE 403
WICHITA KS, 67214-3729, US
Phone (316) 262-4467
Fax (316) 262-0706
Toxanomy
Taxonomy Code 207RH0003X
License State Kansas
License Number 0427872
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According to our database, Bassam I Mattar MD NPI is 1053372649, taxonomy code is 207RH0003X and license number is 0427872, license state is located at Kansas. Bassam I Mattar MD physically located at 818 N Emporia St, Wichita KS, 67214-3729. NPI Number Bassam I Mattar MD has the Individual type.

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1053372649 NPI number is provided on an as is basis without warranty of any kind. 1053372649 is maintained by the National Plan & Provider Enumeration System. The contents of Bassam I Mattar MD are for informational purposes only.