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Individual

VIRGILIO M. TADURAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 CHEYENNE STREET, SATANTA, KS 67870-0009
(620) 649-2771
(620) 649-2538
Mailing address
PO BOX 9, SATANTA, KS 67870-0009
(620) 649-2771
(620) 649-2538

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17676
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-17676
STATE LICENSE #
KS
05
100139460B
KS
01
41397
BLUE SHIELD-SATANTA
KS
01
41716
BLUE CROSS-HOSPITAL
KS
Enumeration date
05/17/2006
Last updated
07/08/2011
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