Individual provider · Type 1 NPI

Ede J. Voorheis, PA-C

Medical Physician Assistant · Modesto, CA

NPI number 1134620263 Active

Practice location

2101 Tenaya Dr
Modesto, CA 95354-3930

Call (209) 576-6766 Map

Fax (209) 576-6770

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA55140 (CA)
Medical Physician Assistant Primary 363AM0700XPA55140 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1134620263

Ede J. Voorheis, PA-C's National Provider Identifier is 1134620263, issued on Feb 23, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Modesto, CA. The record was last updated on Feb 23, 2018.