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Organization

HODGEMAN COUNTY MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS A SANDOVAL (PRACTICE MANAGER)
(620) 408-9700
Entity
Organization

Contact information

Practice address
810 W BRAMLEY ST, JETMORE, KS 67854-9320
(620) 357-8354
Mailing address
2200 SUMMERLON CIR, SUITE A, DODGE CITY, KS 67801-2900
(620) 408-9700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
05-18985
KS

Other

Enumeration date
09/09/2011
Last updated
09/09/2011
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