Individual
DR. JOHN P ESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6634 W CENTRAL AVE, WICHITA, KS 67212-3315
(316) 946-0096
(316) 946-9920
Mailing address
6634 W CENTRAL AVE, WICHITA, KS 67212-3315
(316) 946-0096
(316) 946-9920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5-25156
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235100C
—
KS
Enumeration date
03/24/2006
Last updated
03/04/2008
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