DOMINADOR T PERIDO

ELKHART, KS
NPI1770576464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: KS  KS0416343)
Enumeration Date2005-08-26
Last Update Date2012-08-08
Business Address
Dr. DOMINADOR T PERIDO
411 SUNSET
ELKHART, KS 67950-0997
Phone number: 620-697-2155
Mailing Address
Dr. DOMINADOR T PERIDO
PO BOX 997
ELKHART, KS 67950-0997
Phone number: 620-697-2155