FASTMED

Physician Assistant

NPI: 1093104838Organization

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

0010-05516(NC)

Contact & Hours

Address: 4711 MIFFLIN ST
RALEIGH, NC 27612
Phone: (925) 997-2646

Quick Facts

NPI: 1093104838
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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