Mikhail Wenutu Fraser-Gray in Tulare - Physician Assistant
Mikhail Wenutu Fraser-Gray - NPI 1760648117
Mikhail Wenutu Fraser-Gray is a Physician Assistant in Tulare, California. Mikhail Wenutu Fraser-Gray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mikhail Wenutu Fraser-Gray is 1760648117. The last update date is 2021-12-06.
Mikhail Wenutu Fraser-Gray's current location address is 869 N Cherry St, Tulare, California. You can contact this provider via phone number 5596880821 and fax number 8185872493. The mailing address for Mikhail Wenutu Fraser-Gray is 869 N Cherry St, Tulare, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikhail Wenutu Fraser-Gray |
|---|---|
| Address | 869 N Cherry St, Tulare, California |
| Phone Number | 5596880821 |
| Fax Number | 8185872493 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760648117 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 869 N Cherry St |
|---|---|
| City | Tulare |
| State | California (CA) |
| Post Code | 932742207 |
| Phone Number | 5596880821 |
| Fax Number | 8185872493 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 19766 |
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Definition: 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 trained to perfor |
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What is the Mikhail Wenutu Fraser-Gray's unique identification number?
The Mikhail Wenutu Fraser-Gray has been assigned the NPI (National Provider Identifier) Number 1760648117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mikhail Wenutu Fraser-Gray is physically located?
The Mikhail Wenutu Fraser-Gray is physically situated at the following address: 869 N Cherry St, Tulare, CA, 932742207.
What is Mikhail Wenutu Fraser-Gray's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mikhail Wenutu Fraser-Gray is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760648117 to Mikhail Wenutu Fraser-Gray?
The Centers for Medicare & Medicaid Services assigned the 1760648117 to Mikhail Wenutu Fraser-Gray on 2008-08-05.
As of what date were the details pertaining to Mikhail Wenutu Fraser-Gray last refreshed?
The information related to the Mikhail Wenutu Fraser-Gray, including its address, specialty, and other relevant details, was last updated on 2021-12-06.
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