Individual provider · Type 1 NPI

Star Ray Chenoweth, PA-C

Surgical Physician Assistant · Carson City, NV

NPI number 1386970614 Active

Practice location

973 Mica Dr, Suite 201
Carson City, NV 89705-7255

Fax (775) 783-6191

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1183 (NV)
Surgical Physician Assistant Primary 363AS0400XPA1183 (NV)

Surgical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1386970614

Star Ray Chenoweth, PA-C's National Provider Identifier is 1386970614, issued on Oct 21, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Carson City, NV. The record was last updated on Oct 4, 2010.