Dominador T. Perido Md Pa

NPI 1083725139 - Family Medicine - 207Q00000X

NPI Details
NPI 1083725139
Enumeration Date 08/31/2006
Last Updated 07/27/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOMINADOR T. DOMINADOR
Position OWNER
Phone (620) 697-2155
Fax (620) 697-4275
Practice Location
411 SUNSET
ELKHART KS, 67950-0997, US
Phone (620) 697-2155
Fax (620) 697-4275
Business Location
PO BOX 997
ELKHART KS, 67950-0997, US
Phone (620) 697-2155
Fax (620) 697-4275
Toxanomy
Taxonomy Code 207Q00000X
License State Kansas
License Number KS04-16343
Remove 1083725139 NPI Number
 

According to our database, Dominador T. Perido Md Pa NPI is 1083725139, taxonomy code is 207Q00000X and license number is KS04-16343, license state is located at Kansas. Dominador T. Perido Md Pa physically located at 411 Sunset, Elkhart KS, 67950-0997. NPI Number 1033115704 has the healthcare provider type.

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1083725139 NPI number is provided on an as is basis without warranty of any kind. 1083725139 is maintained by the National Plan & Provider Enumeration System. The contents of Dominador T. Perido Md Pa are for informational purposes only.