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NPI Code Detail

MEDICARE: SANDHILL ORTHOPAEDIC & SPORTSMEDICINE, LLC

MEDICARE: SANDHILL ORTHOPAEDIC & SPORTSMEDICINE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist04-21693KS

General Provider Information

NPI Number : 1144248899
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDHILL ORTHOPAEDIC & SPORTSMEDICINE, LLC
Provider Business Mailing Address
First Line : 101 E FULTON ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5455
Country : US
Telephone Number : 620-275-8400
Fax Number : 620-275-2687
Provider Business Practice Location Address
First Line : 101 E FULTON ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5455
Country : US
Telephone Number : 620-275-8400
Fax Number : 620-275-2687
Authorized Official
Title or Position : BUSINESSOFFICE MANAGER
Name : HALLIE ELAINE NUSSER
Credential :
Telephone Number : 620-275-8400
Provider Enumeration Date : 07/18/2006
Last Update Date : 08/22/2020

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Directions to “SANDHILL ORTHOPAEDIC & SPORTSMEDICINE, LLC ” Practice Location

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