Organization
MID CONTINENT ORTHOPEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P ESTIVO D.O. (OWNER)
(316) 946-0096
Entity
Organization
Contact information
Practice address
6634 W CENTRAL AVE, WICHITA, KS 67212-3315
(316) 946-0096
(316) 946-9920
Mailing address
PO BOX 12368, WICHITA, KS 67277-2368
(316) 946-0096
(316) 946-9920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05-25156
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235100C
—
KS
Enumeration date
03/27/2006
Last updated
06/23/2010
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