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Organization
TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
Active
Organization
TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY VIRGIL MAYPA TADURAN D.O. (OWNER)
(620) 624-2565
Entity
Organization
Contact information
Practice address
102 E 11TH ST, LIBERAL, KS 67901-2784
(620) 624-2565
Mailing address
102 E 11TH ST, LIBERAL, KS 67901-2784
(620) 624-2565
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
05-34185
KS
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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