Organization
COLBY MEDICAL AND SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HILDYARD (ADMINISTRATOR)
(785) 462-3332
Entity
Organization
Contact information
Practice address
175 S RANGE AVE, COLBY, KS 67701-2931
(785) 462-3332
(785) 462-6956
Mailing address
175 S RANGE AVE, COLBY, KS 67701-2931
(785) 462-3332
(785) 462-6956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-15836
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-15836
LICENSE NUMBER
—
Enumeration date
09/27/2012
Last updated
09/27/2012
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