Individual provider · Type 1 NPI
Marijo Goodsite, PA
Medical Physician Assistant · Colton, CA
NPI number
1619229564
Active
Practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
134 Greenwood Hts
Bellevue, OH 44811-1049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1619229564
Marijo Goodsite, PA's National Provider Identifier is 1619229564, issued on Oct 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colton, CA. The record was last updated on Oct 2, 2012.