| Amber Waves Neurology, Chartered | |
|
520 S Santa Fe Ave Suite 300 Salina KS 67401-4190 | |
| (785) 309-0012 | |
| Not Available |
| Full Name | Amber Waves Neurology, Chartered |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 520 S Santa Fe Ave, Salina, Kansas |
| Authorized Official Name and Position | Trent W Davis (NEUROLOGIST) |
| Authorized Official Contact | 7853090012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Waves Neurology, Chartered Po Box 1121 Salina KS 67402-1121 Ph: (785) 309-0012 | Amber Waves Neurology, Chartered 520 S Santa Fe Ave Suite 300 Salina KS 67401-4190 Ph: (785) 309-0012 |
| NPI Number | 1851351605 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851351605 | NPI | - | NPPES |
| P00154557 | Other | KS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0428008 (Kansas) | Primary |
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