Basic Information
Provider Information
NPI: 1417968041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALYERS
FirstName: WILLIAM
MiddleName: J.
NamePrefix:  
NameSuffix: JR.
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1358
Address2:  
City: WICHITA
State: KS
PostalCode: 672011358
CountryCode: US
TelephoneNumber: 3162933429
FaxNumber: 8554953229
Practice Location
Address1: 8533 E 32ND ST N
Address2:  
City: WICHITA
State: KS
PostalCode: 672262611
CountryCode: US
TelephoneNumber: 3162933455
FaxNumber: 8555179494
Other Information
ProviderEnumerationDate: 08/10/2006
LastUpdateDate: 06/08/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X04-30970KSN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X04-30970KSY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RH0002X04-30970KSN Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


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