Individual provider · Type 1 NPI
Eric David Vanfossen, PA-C
Medical Physician Assistant · Sidney, OH
NPI number
1083754287
Active
Practice location
1205 Fairington Dr
Sidney, OH 45365-8144
Mailing address
21039 Geyer Dr
Wapakoneta, OH 45895-8815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0805 (OH) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Primecare Physicians of West Central Ohio, IncGeneral Practice Physician Sidney, OH NPI 1609084375
- Kenneth Bosslet, DOFamily Medicine Physician Sidney, OH NPI 1831195767
- Stephen Justice, MDFamily Medicine Physician Sidney, OH NPI 1023014966
- Theresa Kay Edwards, APRN-CNPGerontology Nurse Practitioner Sidney, OH NPI 1013494558
About NPI 1083754287
Eric David Vanfossen, PA-C's National Provider Identifier is 1083754287, issued on Feb 7, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sidney, OH. The record was last updated on Dec 2, 2020.