Individual provider · Type 1 NPI
Brian Joseph Cormier, PA
Medical Physician Assistant · Escalon, CA
NPI number
1407045586
Active
Practice location
850 West California St.
Escalon, CA 95320-2120
Fax (209) 838-2513
Mailing address
6437 Kenneth Charles Ct
Riverbank, CA 95367-2123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11588 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1407045586
Brian Joseph Cormier, PA's National Provider Identifier is 1407045586, issued on Oct 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Escalon, CA. The record was last updated on Oct 15, 2007.