Ea2, PA

NPI #1619260114 in Wichita, Kansas

Provider Information

NPI Number: 1619260114
Entity Type: Organization
Organization Name: Ea2, PA
Primary Specialty: Neurological Surgery
Enumeration Date: May 17, 2011
Last Updated: Mar 29, 2012

Practice Location

Address: 3305 E DOUGLAS AVE
Address 2: SUITE 101
City: Wichita
State: Kansas
ZIP Code: 67218-1036
Phone: (316) 644-3412

Authorized Official

Name: DR. EUSTAQUIO DE OCAMPO ABAY II, MD, FACS
Title: PRESIDENT
Phone: (316) 425-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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