Individual provider · Type 1 NPI

Alexei Ivanovich Pouzakov, PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1700182672 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-3770 Map

Fax (559) 459-3719

Mailing address

4910 E Clinton Way, Suite 101
Fresno, CA 93727-1560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA21289 (CA)
Surgical Physician Assistant Primary 363AS0400XPA21289 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1700182672

Alexei Ivanovich Pouzakov, PA-C's National Provider Identifier is 1700182672, issued on Feb 9, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Jul 10, 2012.