DOMINADOR T. PERIDO MD PA
Organization (NPI-2)
Active
Surgery
Provider Information
- NPI Number
1083725139- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 411 SUNSET, ELKHART, KS, 679500997
- Phone
- (620) 697-2155
- Fax
- (620) 697-4275
Specialties & Taxonomies
Family Medicine
License: KS #KS04-16343
Surgery
Primary License: KS #KS04-16343