Individual provider · Type 1 NPI
Philip Conte Guzzetta Iii, PA-C
Medical Physician Assistant · Dallas, TX
NPI number
1609144781
Active
Practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3607 Sam Rayburn Trl
Dallas, TX 75287-4829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11436 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1609144781
Philip Conte Guzzetta Iii, PA-C's National Provider Identifier is 1609144781, issued on Dec 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Dec 27, 2017.