Individual provider · Type 1 NPI
Gwendolyn Champion, LSA
Surgical Physician Assistant · Fresno, TX
NPI number
1407241300
Active
Practice location
4026 E Teal Estates Cir
Fresno, TX 77545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00547 |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1407241300
Gwendolyn Champion, LSA's National Provider Identifier is 1407241300, issued on Mar 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, TX. The record was last updated on Apr 30, 2020.