| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 411 Sunset, Elkhart, Kansas |
| Authorized Official Name and Position | Leonard Hernandez (CEO) |
| Authorized Official Contact | 6206975200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 460 411 Sunset Elkhart KS 67950 Ph: (620) 697-2175 | 411 Sunset Elkhart KS 67950 Ph: (620) 697-2175 |
| NPI Number | 1932314762 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932314762 | NPI | - | NPPES |
Dominador T. Perido Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Sunset, Elkhart, KS 67950 Phone: 620-697-2155 Fax: 620-697-4275 | |
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