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Organization

ASC AT FHO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARD LIBRODO MD (OWNER)
(316) 452-5113
Entity
Organization

Contact information

Practice address
822 N ANDOVER RD, ANDOVER, KS 67002-9527
(316) 247-5499
(316) 295-2682
Mailing address
PO BOX 189, ANDOVER, KS 67002-0189
(316) 452-5113
(316) 295-2682

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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