Individual provider · Type 1 NPI
Alice May Isidro, PA-C
Surgical Physician Assistant · Wynnewood, PA
NPI number
1720167034
Active
Practice location
100 E Lancaster Ave, Jd Lankenau Pavillion, Mezzanine
Wynnewood, PA 19096-3450
Fax (484) 476-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA002647L (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1720167034
Alice May Isidro, PA-C's National Provider Identifier is 1720167034, issued on Nov 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wynnewood, PA. The record was last updated on Oct 19, 2015.