Individual
AUBREY SHEA RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 W CENTRAL AVE STE 205, EL DORADO, KS 67042
(316) 321-2010
(316) 321-8871
Mailing address
700 W CENTRAL AVE STE 205, EL DORADO, KS 67042-2186
(316) 321-2010
(316) 321-8871
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
04-41288
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201210480A
—
KS
Enumeration date
03/31/2015
Last updated
09/12/2018
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