Individual provider · Type 1 NPI

Bruce Alan Cavanaugh, PA-C

Medical Physician Assistant · Woodstock, MD

NPI number 1689633414 Active

Practice location

9987 Village Green Dr
Woodstock, MD 21163-1155

Call (443) 570-2782 Map

Fax (443) 570-2782

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC002022 (MD)
Physician Assistant 363A00000XC002022 (MD)

Medical Physician Assistant: Definition to come...

About NPI 1689633414

Bruce Alan Cavanaugh, PA-C's National Provider Identifier is 1689633414, issued on Mar 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodstock, MD. The record was last updated on Apr 13, 2016.