Individual
FAUSTINO M NALDOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1323 N A ST, WELLINGTON, KS 67152-4350
(620) 326-8171
(620) 326-2371
Mailing address
1323 N A ST, WELLINGTON, KS 67152-4350
(620) 326-8171
(620) 326-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4-15591
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000334
BC/BS PROVIDER #
KS
05
—
100088410A
—
KS
Enumeration date
07/27/2006
Last updated
07/29/2008
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