Individual provider · Type 1 NPI
Troy West Pulliam, PAC
Medical Physician Assistant · Victoria, VA
NPI number
1821068024
Active
Practice location
1508 Kv Road
Victoria, VA 23974
Fax (434) 696-1557
Mailing address
PO Box 65
Victoria, VA 23974-0065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110001214 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1821068024
Troy West Pulliam, PAC's National Provider Identifier is 1821068024, issued on Jan 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Victoria, VA. The record was last updated on Feb 6, 2020.