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-819taxonomy 363A00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Community Care
Type code 3recorded 2009-09-30
Practice context
Multi-provider organization.
6 individual providers on file at this primary address.
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