Organization
BUTLER COUNTY SURGICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM N HAFFNER M.D. (PRESIDENT)
(316) 321-5630
Entity
Organization
Contact information
Practice address
700 W CENTRAL AVE, SUITE 111, EL DORADO, KS 67042-2184
(316) 321-5630
(316) 320-0244
Mailing address
700 W CENTRAL AVE, SUITE 111, EL DORADO, KS 67042-2184
(316) 321-5630
(316) 320-0244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003964
KS BLUE CROSS/BLUE SHIELD
KS
Enumeration date
02/22/2006
Last updated
08/22/2020
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