Individual provider · Type 1 NPI
Charles Eugene Stream, PA-C
Medical Physician Assistant · Lancaster, PA
NPI number
1114355104
Active
Practice location
133 East Fredeick Street
Lancaster, PA 17602
Fax (717) 394-0175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA001924L (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1114355104
Charles Eugene Stream, PA-C's National Provider Identifier is 1114355104, issued on Oct 29, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lancaster, PA. The record was last updated on Oct 30, 2013.