Individual provider · Type 1 NPI

Philip Detrana, PA

Medical Physician Assistant · Charlottesville, VA

NPI number 1063255586 Active

Practice location

1240 Lee St
Charlottesville, VA 22908-0816

Call (434) 924-9333 Map

Fax (434) 244-7526

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-9333

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003X0110010146 (VA)
Medical Physician Assistant Primary 363AM0700X0110010146 (VA)

Medical Physician Assistant: Definition to come...

129 other providers at this address

Other medical physician assistant providers in Charlottesville

See all in Charlottesville →

About NPI 1063255586

Philip Detrana, PA's National Provider Identifier is 1063255586, issued on Jun 13, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlottesville, VA. The record was last updated on Aug 14, 2024.