Individual provider · Type 1 NPI
Victor Cecilio Padron, PA
Medical Physician Assistant · Peridot, AZ
NPI number
1801317805
Active
Practice location
103 Medicine Way Road
Peridot, AZ 85542
Mailing address
16845 NW 78th Ave
Miami Lakes, FL 33016-8439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6720 (AZ) |
Medical Physician Assistant: Definition to come...
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About NPI 1801317805
Victor Cecilio Padron, PA's National Provider Identifier is 1801317805, issued on Jun 29, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peridot, AZ. The record was last updated on Jun 29, 2017.