Individual provider · Type 1 NPI
James P. Ennis Ii, PA-C
Surgical Physician Assistant · Phoenix, MD
NPI number
1598047367
Active
Practice location
4023 Cloverland Drive
Phoenix, MD 21131-2139
Fax (410) 420-9641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1598047367
James P. Ennis Ii, PA-C's National Provider Identifier is 1598047367, issued on Sep 16, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, MD. The record was last updated on Sep 16, 2011.