Organization · Type 2 NPI
Physician Assist LLC
Surgical Physician Assistant · Wakefield, RI
NPI number
1669702569
Active
Practice location
35 Broad Rock Rd
Wakefield, RI 02879-1872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA00255 (RI) |
Surgical Physician Assistant: Definition to come...
About NPI 1669702569
Physician Assist LLC's National Provider Identifier is 1669702569, issued on Dec 28, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wakefield, RI. The record was last updated on Dec 28, 2009.