Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMINADOR T PERIDO JR.
Active Sole ProprietorDR. DOMINADOR T PERIDO JR. is a General Surgery healthcare provider located in ELKHART, Kansas. NPI 1770576464 is currently active in the NPPES registry. Verify at CMS.
General Surgery · ELKHART, KS
Registration Details
- NPI Number
- 1770576464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (20.941021089134 yrs)
- Last Updated
- Aug 8, 2012
- License
-
KS0416343 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 SUNSETELKHART, KS, 679500997Browse KS providers · Browse ZIP 67950
- Phone
- 6206972155
- Fax
- 6206974275
- Primary Specialty
-
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.