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Surgical Physician Assistant
NPI: 1730974445Individual
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
0110011269(VA)6744(TN)
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Contact & Hours
- Address
- 1 MEDICAL PARK BLVD STE 250W
BRISTOL, TN 37620 - Phone
- (423) 844-6620
Quick Facts
- NPI
- 1730974445
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 2
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