Individual
ELEANOR PASCUAL DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-2415
(316) 262-0318
Mailing address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-2415
(316) 262-0318
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16984
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212200B
—
KS
Enumeration date
11/02/2005
Last updated
07/16/2010
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