Organization
CITY OF GALENA - KANSAS
Active
Other names
Premier Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M CAPUTO (CHIEF EXECUTIVE OFFICER)
(620) 783-4614
Entity
Organization
Contact information
Practice address
198 FOUR STATES DR, SUITE 8, GALENA, KS 66739-4304
(620) 461-0101
(620) 461-0105
Mailing address
1619 K66, GALENA, KS 66739-4306
(620) 783-1732
(620) 783-4686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
04/28/2016
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