Organization · Type 2 NPI

Ec Physician Assistant PC

Surgical Physician Assistant · Newcastle, CA

NPI number 1114493715 Active

Practice location

9192 Los Puentes Rd
Newcastle, CA 95658-9706

Call (520) 360-6080 Map

Fax (208) 506-7953

Mailing address

PO Box 506
Newcastle, CA 95658-0506

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	None listed

Surgical Physician Assistant: Definition to come...

Another provider at this address

Erin Lindsey Campbell, PA-C LLCSurgical Physician Assistant Newcastle, CA NPI 1548596810

NPI record

NPI: 1114493715
Entity type: Organization (Type 2)
Issued: Oct 22, 2018
Last updated: Sep 8, 2020
Status: Active
Subpart: Yes of Ec Physician Assistant PC

Other names

<unavail>
Erin Campbell, PA · doing business as
Erin Campbell, PA · doing business as

Authorized official

Erin Lindsey Campbell, PA
Owner
(520) 360-6080

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114493715

Ec Physician Assistant PC's National Provider Identifier is 1114493715, issued on Oct 22, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newcastle, CA. The record was last updated on Sep 8, 2020.