Doctor Name: | DR. ELIZABETH GONTERO HUDEK |
NPI Number: | 1134466444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 04-23546 |
Business Practice Address: | 5607 Canterbury Rd Fairway, KS - 662052620 |
Business Phone Number: | 9136455555 |
Business Fax Number: | |
Mailing Address: | 5607 Canterbury Rd, FAIRWAY |
State: | KS |
Postal Code: | 662052620 |
Phone Number: | 9136455555 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2013 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 04-23546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |