Individual provider · Type 1 NPI

Phillip Anthony Jennrich

Surgical Physician Assistant · Fresno, CA

NPI number 1679064562 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-3705 Map

Fax (559) 459-3720

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X55903 (CA)
Medical Physician Assistant 363AM0700X55903 (CA)
Surgical Physician Assistant Primary 363AS0400X55903 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1679064562

Phillip Anthony Jennrich's National Provider Identifier is 1679064562, issued on May 25, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Oct 9, 2020.