Organization
DDD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIDRE DAWN DEGRADO CPM (MIDWIFE)
(316) 371-0707
Entity
Organization
Contact information
Practice address
105 S ANDOVER RD, SUITE A, ANDOVER, KS 67002-7920
(316) 371-0707
(316) 252-1244
Mailing address
105 S ANDOVER RD, SUITE A, ANDOVER, KS 67002-7920
(316) 371-0707
(316) 252-1244
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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