person
Bryan Banuelos
Ophthalmic Technician/Technologist in Wichita, Kansas
NPI 1144001579

Bryan Banuelos is a Ophthalmic Technician/Technologist based in Derby, KS and is specialized in Ophthalmic. Bryan Banuelos practices in Wichita, KS. The NPI Number for Bryan Banuelos is 1144001579 and holds a License No. 276840 (Kansas).

The current practice location address for Bryan Banuelos is 949 S Glendale St, Wichita, KS and can be reached out via phone at 316-685-2221 and via fax at 316-239-2747.

Location: 949 S Glendale St, Wichita, KS, 67037-4105
person
Provider Profile Details
NPI Number
1144001579
Provider Name
Bryan Banuelos
Credential
Provider Entity Type
Individual
Gender
Male
Address
949 S Glendale St, Wichita, KS, 67037-4105
Phone Number
316-685-2221
Fax Number
316-239-2747
Provider Enumeration Date
10/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
949 S Glendale St
City
State
Zip
67218-3210
Phone Number
316-685-2221
Fax Number
316-239-2747
person
Provider Business Mailing Address Details
Address
949 S Glendale St
City
State
Zip
67218-3210
Phone Number
316-685-2221
Fax Number
316-239-2747
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic
Taxonomy
License No.
276840 ()
Definition
Definition to come...
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