Individual provider · Type 1 NPI
Jonathan Anthony Shomo, PA
Medical Physician Assistant · Bridgewater, VA
NPI number
1689822652
Active
Practice location
110A N Main St
Bridgewater, VA 22812-1301
Fax (540) 210-1271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110002842 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1689822652
Jonathan Anthony Shomo, PA's National Provider Identifier is 1689822652, issued on Sep 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgewater, VA. The record was last updated on Aug 19, 2021.