person
Mr. Rick Pustka, PA
Surgical Physician Assistant in Wichita, Kansas
NPI 1124088703

Rick Pustka is a Surgical Physician Assistant based in Wichita, KS and is specialized in Surgical. Rick Pustka practices in Wichita, KS and has the professional credentials of PA. The NPI Number for Rick Pustka is 1124088703 and holds a License No. 1500950 (Kansas).

The current practice location address for Rick Pustka is 2610 N Woodlawn Blvd, Wichita, KS and can be reached out via phone at 316-858-2601 and via fax at 316-858-2793.

Location: 2610 N Woodlawn Blvd, Wichita, KS, 67220-2729
person
Provider Profile Details
NPI Number
1124088703
Provider Name
Rick Pustka
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2610 N Woodlawn Blvd, Wichita, KS, 67220-2729
Phone Number
316-858-2601
Fax Number
316-858-2793
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200260850A 05 KS
institution
Provider Business Practice Location Address Details
Address
2610 N Woodlawn Blvd
City
State
Zip
67220-2729
Phone Number
316-858-2601
Fax Number
316-858-2793
person
Provider Business Mailing Address Details
Address
2610 N Woodlawn Blvd
City
State
Zip
67220-2729
Phone Number
316-858-2601
Fax Number
316-858-2793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1500950 (Kansas)
Definition
Definition to come...
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