Individual provider · Type 1 NPI
Beni Thi Dang, PA-C
Surgical Physician Assistant · Medford, OR
NPI number
1386101665
Active
Practice location
691 Murphy Rd., Ste 107
Medford, OR 97504-4311
Fax (541) 789-5122
Mailing address
2825 E Barnett Rd, Mss
Medford, OR 97504-8332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA192053 (OR) |
| Surgical Physician Assistant Primary | 363AS0400X | PA192053 (OR) |
Surgical Physician Assistant: Definition to come...
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About NPI 1386101665
Beni Thi Dang, PA-C's National Provider Identifier is 1386101665, issued on Feb 22, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Medford, OR. The record was last updated on Feb 28, 2024.