Provider Demographics
NPI:1770814014
Name:ABUEG, ARVIN GARCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:GARCIA
Last Name:ABUEG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MAINE ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4096
Mailing Address - Country:US
Mailing Address - Phone:217-222-6550
Mailing Address - Fax:217-277-2253
Practice Address - Street 1:1100 E OUTER RD S STE 4
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MO
Practice Address - Zip Code:63435-1702
Practice Address - Country:US
Practice Address - Phone:573-288-5949
Practice Address - Fax:573-288-5755
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01067718A207Q00000X
MO2010020378207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine