Individual
DR. GERARD FERNANDEZ LIBRODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W CENTRAL AVE STE 105, EL DORADO, KS 67042-2187
(316) 322-4589
(316) 321-4810
Mailing address
700 W CENTRAL AVE STE 105, EL DORADO, KS 67042-2187
(316) 322-4589
(316) 321-4810
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-31540
KS
207XP3100X
Pediatric Orthopaedic Surgery Physician
04-31540
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
0431540
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000106013
BLUE CROSS BLUE SHIELD
KS
05
—
200373470C
—
KS
Enumeration date
07/11/2006
Last updated
11/26/2007
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