Individual provider · Type 1 NPI

Peter Vernon Goetchius, PHYSICIAN ASSISTANT

Medical Physician Assistant · Fort Drum, NY

NPI number 1285610451 Active

Practice location

11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials
Fort Drum, NY 13602-5438

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000219-0 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1285610451

Peter Vernon Goetchius, PHYSICIAN ASSISTANT's National Provider Identifier is 1285610451, issued on Dec 20, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Drum, NY. The record was last updated on May 20, 2008.