Individual provider · Type 1 NPI

Michael D. Easterling, PA

Surgical Physician Assistant · Montgomery, AL

NPI number 1720154768 Active

Practice location

2055 E South Blvd Ste 603
Montgomery, AL 36116-2014

Fax (334) 747-8810

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.12 (AL)

Surgical Physician Assistant: Definition to come...

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About NPI 1720154768

Michael D. Easterling, PA's National Provider Identifier is 1720154768, issued on Nov 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Montgomery, AL. The record was last updated on Jan 11, 2023.