is a Physician Assistant in Bel Air, Maryland. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1568629558. The last update date is .
's current location address is 722 S Main St, Bel Air, Maryland. You can contact this provider via phone number 4439032014 and fax number 4439032011. The mailing address for is 722 S Main St, Bel Air, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 722 S Main St, Bel Air, Maryland |
| Phone Number | 4439032014 |
| Fax Number | 4439032011 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568629558 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 722 S Main St |
|---|---|
| City | Bel Air |
| State | Maryland (MD) |
| Post Code | 210144101 |
| Phone Number | 4439032014 |
| Fax Number | 4439032011 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0003988 |
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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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