| NPI | 1770550592 |
|---|---|
| Former Legal Business Name | EL DORADO SPORTS MEDICINE AND ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | JANE F MOSES CFO 316-630-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-12-11 |