Martin A Castillo Liranzo, MD | |
112 W Ross Blvd, Suite A, Dodge City, KS 67801-7219 | |
(620) 801-4380 | |
(620) 801-4383 |
Full Name | Martin A Castillo Liranzo |
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Gender | Male |
Speciality | Pediatrics |
Location | 112 W Ross Blvd, Dodge City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679837181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 0438035 (Kansas) | Primary |
Entity Name | Kentucky Mso Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164867883 PECOS PAC ID: 0749450633 Enrollment ID: O20110901000380 |
Mailing Address | Practice Location Address |
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Martin A Castillo Liranzo, MD Po Box 728, Dodge City, KS 67801-0728 Ph: (620) 801-4380 | Martin A Castillo Liranzo, MD 112 W Ross Blvd, Suite A, Dodge City, KS 67801-7219 Ph: (620) 801-4380 |
Dr. Jessica Y Calvo Castanon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801 Phone: 620-227-3141 Fax: 620-227-8095 | |
Lyle D Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Central Ave, Dodge City, KS 67801 Phone: 620-227-1371 Fax: 620-227-1208 | |
Dr. Coy Randolph Matthews, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd Ste 1b, Dodge City, KS 67801 Phone: 620-371-5576 |