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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA002647L (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.