Individual provider · Type 1 NPI
James Walter Pack, PA
Surgical Physician Assistant · Millersville, MD
NPI number
1164564811
Active
Practice location
750 Oakwilde Ct
Millersville, MD 21108-1447
Mailing address
750 Oakwilde Ct.
Millersville, MD 21108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | C0001314 (MD) |
Surgical Physician Assistant: Definition to come...
About NPI 1164564811
James Walter Pack, PA's National Provider Identifier is 1164564811, issued on Feb 12, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Millersville, MD. The record was last updated on Jul 8, 2007.