Organization
EL DORADO SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL OBRIEN MCKESEY MD (GENERAL SURGERY OWNER)
(316) 320-0500
Entity
Organization
Contact information
Practice address
700 WEST CENTRAL, SUITE 203, EL DORADO, KS 67042
(316) 320-0500
(316) 321-0503
Mailing address
700 WEST CENTRAL, SUITE 203, EL DORADO, KS 67042
(316) 320-0500
(316) 321-0503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0430284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521450
FIRST GUARD
KS
Enumeration date
10/19/2006
Last updated
08/22/2020
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