Individual provider · Type 1 NPI

Samantha K. Ezolt, PA-C

Medical Physician Assistant · Hagerstown, MD

NPI number 1245885482 Active

Practice location

13 Western Maryland Pkwy Ste 104
Hagerstown, MD 21740-6474

Call (301) 665-4575 Map

Fax (301) 665-4576

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1245885482

Samantha K. Ezolt, PA-C's National Provider Identifier is 1245885482, issued on Aug 5, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hagerstown, MD. The record was last updated on Dec 1, 2021.