A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
ID license #PA-1046taxonomy 363A00000X
Identifiers
Type
Value
Notes
05 (ID)
002848800
05 (ID)
805344600
05 (ID)
805321100
05 (ID)
806204600
05 (ID)
0556324
05 (ID)
002891000
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
PUBLIC HEALTH DISTRICT V
Type code 3recorded 2006-12-11
Practice context
Single-site organization. Only one practice location on file.
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