Individual provider · Type 1 NPI

John R. Meccico, PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1306866488 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Other practice locations

  • 255 N Herwaldt Dr, Fresno, CA 93701-2186 · (866) 342-6012

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X20472 (CA)
Surgical Physician Assistant Primary 363AS0400X20472 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1306866488

John R. Meccico, PA-C's National Provider Identifier is 1306866488, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 15, 2020.