Organization
PATRICK BLOEDEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHELLE GIORDON (CREDENTIALING SPECIALIST)
(330) 723-2111
Entity
Organization
Contact information
Practice address
1230 E 6TH AVE, STE# 1-D, WINFIELD, KS 67156-3144
(620) 221-8930
(620) 221-4060
Mailing address
1230 E 6TH AVE, STE# 1-D, WINFIELD, KS 67156-3144
(620) 221-8930
(620) 221-4060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
KS04-37015
KS
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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