Crystal D Faudere D.O.

NPI 1083685291 - Family Medicine - 207Q00000X

NPI Details
NPI 1083685291
Gender Female
Enumeration Date 01/27/2006
Last Updated 04/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
700 W CENTRAL AVE
SUITE 205
EL DORADO KS, 67042-2184, US
Phone (316) 321-2010
Fax (316) 321-8871
Business Location
700 W CENTRAL AVE
SUITE 205
EL DORADO KS, 67042-2184, US
Phone (316) 321-2010
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Kansas
License Number 530512
Remove 1083685291 NPI Number
 

According to our database, Crystal D Faudere D.O. NPI is 1083685291, taxonomy code is 207Q00000X and license number is 530512, license state is located at Kansas. Crystal D Faudere D.O. physically located at 700 W Central Ave, El Dorado KS, 67042-2184. NPI Number Crystal D Faudere D.O. has the Individual type.

Sponsored links

1083685291 NPI number is provided on an as is basis without warranty of any kind. 1083685291 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal D Faudere D.O. are for informational purposes only.