Organization
DODGE CITY HEALTHCARE GROUP LP
Active
Other names
Dodge City Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KLEIN (DIVISION PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
112 W ROSS BLVD, SUITE E, DODGE CITY, KS 67801-7219
(620) 227-5334
(620) 227-5212
Mailing address
112 W ROSS BLVD, SUITE E, DODGE CITY, KS 67801-7219
(620) 227-5334
(620) 227-5212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0432750
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200584680A
—
KS
Enumeration date
01/28/2009
Last updated
01/28/2009
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