Organization
SUSAN B. ALLEN MEMORIAL HOSPITAL
Active
Other names
SBA Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HALL (CEO)
(316) 322-4558
Entity
Organization
Contact information
Practice address
700 W CENTRAL AVE STE 103, EL DORADO, KS 67042-2187
(316) 321-8751
(316) 321-8752
Mailing address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(316) 321-4810
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
05/16/2024
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