| Dominador T. Perido Md Pa | |
|
411 Sunset Elkhart KS 67950-0997 | |
| (620) 697-2155 | |
| (620) 697-4275 |
| Full Name | Dominador T. Perido Md Pa |
|---|---|
| Speciality | Surgery |
| Location | 411 Sunset, Elkhart, Kansas |
| Authorized Official Name and Position | Dominador T. Perido (OWNER) |
| Authorized Official Contact | 6206972155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominador T. Perido Md Pa Po Box 997 Elkhart KS 67950-0997 Ph: (620) 697-2155 | Dominador T. Perido Md Pa 411 Sunset Elkhart KS 67950-0997 Ph: (620) 697-2155 |
| NPI Number | 1083725139 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083725139 | NPI | - | NPPES |
| 100085400A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KS04-16343 (Kansas) | Secondary |
| 208600000X | Surgery | KS04-16343 (Kansas) | Primary |
Morton County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 Sunset St, Elkhart, KS 67950 Phone: 620-697-2141 Fax: 620-741-8186 | |
Satanta District Hospital And Long-term Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Morton St, Elkhart, KS 67950 Phone: 620-649-2761 Fax: 620-649-2761 | |
Morton County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 Sunset, Elkhart, KS 67950 Phone: 620-697-2141 Fax: 620-741-8186 |