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DAT VO

Physician Assistant

NPI: 1801543996IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA61454506(WA)

CMS Specialties

Education

OTHER

Class of 2023

Contact & Hours

Address
100 BALDWIN BLVD
FISHERSVILLE, VA 22939

Quick Facts

NPI
1801543996
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
3

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