Individual provider · Type 1 NPI

Nicholas Alexander Pukish Jr., PA-C

Medical Physician Assistant · Biloxi, MS

NPI number 1073539771 Active

Practice location

189 Walmart Ln Ste B
Biloxi, MS 39531-4564

Mailing address

6255 W Sunset Blvd Fl 21
Los Angeles, CA 90028-7422

Other practice locations

  • 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547-3737 · (850) 610-8820
  • 4300 Bayou Blvd Ste 17D, Pensacola, FL 32503-2671 · (850) 476-3131

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA 9100880 (FL)
Medical Physician Assistant Primary 363AM0700XPA00845 (MS)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Biloxi

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About NPI 1073539771

Nicholas Alexander Pukish Jr., PA-C's National Provider Identifier is 1073539771, issued on Jul 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Biloxi, MS. The record was last updated on Jan 23, 2025.