Provider Demographics
NPI:1962859777
Name:SANCHEZ, DAVID (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 S HILLSIDE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-3038
Mailing Address - Country:US
Mailing Address - Phone:316-686-2106
Mailing Address - Fax:316-686-5974
Practice Address - Street 1:758 S HILLSIDE ST STE 2
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-3038
Practice Address - Country:US
Practice Address - Phone:316-686-2106
Practice Address - Fax:316-686-5974
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-21
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12-00448213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery