Individual provider · Type 1 NPI
Justin Thurman, PA-C
Surgical Physician Assistant · Fort Meade, SD
NPI number
1770660102
Active
Practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 0519 (SD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1770660102
Justin Thurman, PA-C's National Provider Identifier is 1770660102, issued on Nov 1, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Meade, SD. The record was last updated on Jul 8, 2007.