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Individual

PASTOR RUIZ CAUSIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3223 N WEBB RD, SUITE 5, WICHITA, KS 67226-8175
(316) 609-3020
(316) 609-3070
Mailing address
5051 E LINCOLN ST, 10-A, WICHITA, KS 67218-2416
(316) 683-8849
(316) 260-2611

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
04-29554
KS

Other

Enumeration date
09/02/2006
Last updated
01/11/2008
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