Individual
EUSTAQUIO O ABAY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3305 E DOUGLAS AVE, SUITE 101, WICHITA, KS 67218-1037
(316) 425-0005
(316) 425-0007
Mailing address
3305 E DOUGLAS AVE, SUITE 101, WICHITA, KS 67218-1037
(316) 425-0005
(316) 425-0007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0421083
KS
207T00000X
Neurological Surgery Physician
Primary
04-21083
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204380C
—
KS
Enumeration date
07/07/2006
Last updated
04/09/2012
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