Individual provider · Type 1 NPI
Corey Tremblay, PA-C
Medical Physician Assistant · Modesto, CA
NPI number
1598264103
Active
Practice location
817 Coffee Rd Ste B
Modesto, CA 95355-4241
Mailing address
1641 N Ripon Rd Apt 507
Ripon, CA 95366-9818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 55317 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1598264103
Corey Tremblay, PA-C's National Provider Identifier is 1598264103, issued on Feb 9, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Modesto, CA. The record was last updated on Feb 9, 2018.