| Gary L Wilson, DO | |
| 5500 E Kellogg Dr, Department Of Radiology, Wichita, KS 67218-1607 | |
| (970) 250-2891 | |
| Not Available | 
| Full Name | Gary L Wilson | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 5500 E Kellogg Dr, Wichita, Kansas | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174584551 | NPI | - | NPPES | 
| 100384790A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G-1584 (Texas) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gary L Wilson, DO 5500 E Kellogg Dr, Department Of Radiology, Wichita, KS 67218-1607 Ph: (970) 250-2891 | Gary L Wilson, DO 5500 E Kellogg Dr, Department Of Radiology, Wichita, KS 67218-1607 Ph: (970) 250-2891 | 
| Dr. Larry C Graham Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-5050 Fax: 316-689-6192 | |
| Tim Edward Stone,  Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
| Dr. Donald C S Tan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 817 N Emporia St, Via Christi Cancer Center, Wichita, KS 67214 Phone: 316-268-5927 | |
| Dr. Joshua Dale Buchtel, MD Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2699 | |
| Elizabeth Perez-elmore, RN BSN Radiology Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-685-2221 | |
| Mike Lam, DO Radiology Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2635 | |
| Dr. Timothy C Benning, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 E Harry St, Wichita, KS 67218 Phone: 316-689-6173 |