Individual provider · Type 1 NPI

Michael J. Vadovsky, PA

Physician Assistant · Ellsworth Afb, SD

NPI number 1104337450 Active

Practice location

2900 Doolittle Dr
Ellsworth Afb, SD 57706

Call (605) 385-3788 Map

Other practice locations

  • 101 Bodin Cir, Fairfield, CA 94535-1809 · (208) 590-9773

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104337450

Michael J. Vadovsky, PA's National Provider Identifier is 1104337450, issued on Oct 13, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ellsworth Afb, SD. The record was last updated on Feb 5, 2019.