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Peter S Vang, PA

Physician Assistant, Surgical in Wichita, KS. Individual provider (NPI-1).

NPI number1063428811
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063428811
Entity type
Individual (NPI-1)
Name
Peter S Vang
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalT-00858KSYes
363AS0400X Physician Assistant, SurgicalAPPLIED FOR TEMPKS

Practice location

9300 E 29th St N
Suite 205
Wichita, KS 67226-2182

Phone 316-219-8299

Mailing address

9300 E 29th St N
Suite 205
Wichita, KS 67226-2182

Phone 316-219-8299

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