Organization
SURGERY CENTER OF DODGE CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINA LANE BSN (ADMINISTRATOR)
(620) 408-9454
Entity
Organization
Contact information
Practice address
2203 SUMMERLON CIR, DODGE CITY, KS 67801-2985
(620) 408-9454
(620) 408-9552
Mailing address
2203 SUMMERLON CIR, DODGE CITY, KS 67801-2985
(620) 408-9454
(620) 408-9552
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S029001
KS
Other
Enumeration date
07/08/2005
Last updated
08/22/2020
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