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Organization
HODGEMAN COUNTY MEDICAL SERVICES
Active
Organization
HODGEMAN COUNTY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS A SANDOVAL (PRACTICE MANAGER)
(620) 408-9700
Entity
Organization
Contact information
Practice address
810 W BRAMLEY ST, JETMORE, KS 67854-9320
(620) 357-8354
Mailing address
2200 SUMMERLON CIR, SUITE A, DODGE CITY, KS 67801-2900
(620) 408-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
05-18985
KS
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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