Basic Information
| Provider Information | |||||||||
| NPI: | 1760756233 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PIA, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8300 E STEEPLECHASE ST | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672064423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3166309300 | ||||||||
| FaxNumber: | 3168583201 | ||||||||
| Practice Location | |||||||||
| Address1: | 8300 E STEEPLECHASE ST | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672064423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3166309300 | ||||||||
| FaxNumber: | 3168583201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2012 | ||||||||
| LastUpdateDate: | 03/01/2012 | ||||||||
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| AuthorizedOfficialLastName: | OROZCO-DO | ||||||||
| AuthorizedOfficialFirstName: | SYLVIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | M.D. | ||||||||
| AuthorizedOfficialTelephone: | 3166309300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 04-32134 | KS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.